Organization
LIA DENTAL, PC
Active
Other names
Growing Smile Pediatric Dentistry and Braces
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAHNAAZ NISTAR DDS (DENTIST/OWNER)
(917) 892-3625
Entity
Organization
Contact information
Practice address
79 LYNNFIELD ST, PEABODY, MA 01960-5201
(917) 892-3625
Mailing address
61 DUDLEY ST, MEDFORD, MA 02155-4007
(917) 892-3625
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
03/29/2023
Last updated
03/29/2023
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