Beacon Dental Health PC

NPI #1609482421 in Weymouth, Massachusetts

Provider Information

NPI Number: 1609482421
Entity Type: Organization
Organization Name: Beacon Dental Health PC
Subpart: Yes (part of a larger organization)
Parent Organization: BEACON DENTAL HEALTH PC
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Sep 17, 2020
Last Updated: Sep 17, 2020

Practice Location

Address: 59 COLUMBIAN ST
City: Weymouth
State: Massachusetts
ZIP Code: 02190-2414
Phone: (617) 967-0246

Authorized Official

Name: RISHI SHUKLA
Title: AUTHORIZED ADMINISTRATOR
Phone: (617) 418-6940

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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