Peabody Dental Group, LLC

NPI #1427559681 in Peabody, Massachusetts

Provider Information

NPI Number: 1427559681
Entity Type: Organization
Organization Name: Peabody Dental Group, LLC
Primary Specialty: Dentist
Enumeration Date: Feb 23, 2018
Last Updated: Feb 23, 2018

Practice Location

Address: 619 LOWELL ST UNIT 2
City: Peabody
State: Massachusetts
ZIP Code: 01960-2316
Phone: (978) 535-3443

Authorized Official

Name: DR. RICHARD TODD MILLER, DMD
Title: PRESIDENT
Phone: (781) 562-0457

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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