Bagnall Family Dentistry, LLC

NPI #1851892723 in Andover, Massachusetts

Provider Information

NPI Number: 1851892723
Entity Type: Organization
Organization Name: Bagnall Family Dentistry, LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Feb 26, 2018
Last Updated: Feb 26, 2018

Practice Location

Address: 16 HAVERHILL ST
City: Andover
State: Massachusetts
ZIP Code: 01810-3002
Phone: (978) 475-3997

Authorized Official

Name: DR. MATTHEW LEE BAGNALL, DMD
Title: OWNER
Phone: (978) 475-3997

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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