Organization
42 NORTH DENTAL CARE, LLC
Active
Parent organization
42 NORTH DENTAL CARE, LLC
Other names
Great Hill Dental Partners Newton
Organization subpart
Yes
Provider details
NPI number
Legal business name
42 NORTH DENTAL CARE, LLC
Authorized official
TAMMY A LEWIS (SR CREDENTIALING MANAGER)
(978) 290-3010
Entity
Organization
Contact information
Practice address
188 NEEDHAM ST, NEWTON, MA 02464-1596
(857) 299-7500
Mailing address
200 5TH AVE FL 3, WALTHAM, MA 02451-8759
(781) 647-0772
(781) 895-9995
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/15/2019
Last updated
06/25/2024
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