# BEVERLY HEALTH DEPARTMENT DENTAL CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CITY OF BEVERLY HEALTH DEPARTIMENT
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1629224241
- **Legal business name:** CITY OF BEVERLY HEALTH DEPARTIMENT
- **Authorized official:** MR. WILLIAM T. BURKE III RS. CHO. (DIRECTOR OF PUBLIC HEALTH)
- **Authorized official phone:** (978) 921-8591

## Contact information

- **Practice address:** 90 COLON ST, BEVERLY, MA 01915-3604
- **Practice address phone:** (978) 921-8591
- **Practice address fax:** (978) 922-5695
- **Mailing address:** 90 COLON ST, BEVERLY, MA 01915-3604
- **Mailing address phone:** (978) 921-8591
- **Mailing address fax:** (978) 922-5695

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | 44FV | MA | Yes |

## Other

- **Enumeration date:** 08/14/2008
- **Last updated:** 08/14/2008