Organization
PLEASANT VALLEY DENTAL HEALTH, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY HENRY WAINWRIGHT DMD (PRESIDENT)
(978) 685-2511
Entity
Organization
Contact information
Practice address
380 MERRIMACK ST, SUITE 3E, METHUEN, MA 01844-5870
(978) 685-2511
(978) 683-3985
Mailing address
380 MERRIMACK ST, SUITE 3E, METHUEN, MA 01844-5870
(978) 685-2511
(978) 683-3985
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14747
MA
1223G0001X
General Practice Dentistry
19703
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0200671
—
MA
05
—
9783547
—
MA
Enumeration date
08/11/2006
Last updated
04/06/2012
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