Organization
SAI DENTAL SERVICES LLC
Active
Other names
BEVERLY SMILES
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RAJI MADHUR (OFFICE MANAGER)
(978) 927-1750
Entity
Organization
Contact information
Practice address
277 CABOT ST, BEVERLY, MA 01915-4525
(978) 927-1750
(978) 993-4046
Mailing address
277 CABOT ST, BEVERLY, MA 01915-4525
(978) 927-1750
(978) 993-4046
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19616
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
X12485
BLUE CROSS BLUE SHIELD
MA
Enumeration date
06/02/2007
Last updated
10/11/2012
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