Individual
DR. PETER SHIEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
44 GROVE ST, MELROSE, MA 02176-4616
(781) 662-1500
(781) 782-0880
Mailing address
44 GROVE ST, MELROSE, MA 02176-4616
(781) 662-1500
(781) 782-0880
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20812
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0205389
—
MA
01
—
X12393
BLUE CROSS BLUE SHIELD
MA
Enumeration date
11/02/2006
Last updated
12/13/2021
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