Organization
SIMPLY DENTAL AND ORTHODONTICS OF WAYLAND ,PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AIMEE HODGERNEY (OPERATIONS MANAGER)
(508) 589-8270
Entity
Organization
Contact information
Practice address
21 ELISSA AVE, WAYLAND, MA 01778-3154
(508) 589-8270
(508) 435-2690
Mailing address
87 ELM ST STE 302, HOPKINTON, MA 01748-1638
(508) 589-8270
(508) 435-2690
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
261QD0000X
Dental Clinic/Center
Primary
DN20511
MA
Other
Enumeration date
08/14/2018
Last updated
05/24/2019
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