Organization
STONEHAM PEDIATRIC DENTAL ASSOCIATES, PC
Active
Other names
Dr. Mickey's Pediatric and Orthodontic Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PUSHPAK PATEL (PRESIDENT)
(857) 919-2273
Entity
Organization
Contact information
Practice address
67 MONTVALE AVE, SUITE 101, STONEHAM, MA 02180-3618
(781) 279-2400
(781) 279-4640
Mailing address
67 MONTVALE AVE, SUITE 101, STONEHAM, MA 02180-3618
(781) 279-2400
(781) 279-4640
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN1855141
MA
1223P0221X
Pediatric Dentistry
Primary
DN1855141
MA
124Q00000X
Dental Hygienist
DN1855141
MA
Other
Enumeration date
01/10/2017
Last updated
01/10/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us