Organization
STUART G MERLE & ALAN R ZICHERMAN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN ROY ZICHERMAN DDS (PRESIDENT)
(978) 535-2500
Entity
Organization
Contact information
Practice address
1 ROOSEVELT AVE, PEABODY, MA 01960-2200
(978) 535-2500
(978) 535-6327
Mailing address
1 ROOSEVELT AVE, PEABODY, MA 01960-2200
(978) 535-2500
(978) 535-6327
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
21042
MA
1223P0221X
Pediatric Dentistry
12783
MA
1223P0221X
Pediatric Dentistry
Primary
12800
MA
1223P0221X
Pediatric Dentistry
20795
MA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
19984
MA
Other
Enumeration date
04/01/2007
Last updated
06/17/2008
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