Organization
PEDIATRIC DENTISTRY AND ORTHODONTICS OF THE NORTH SHORE L.L.C.
Active
Other names
DR. DONALD NELSON, D.M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CATHY REED (FINANCIAL COORDINATOR)
(978) 774-1822
Entity
Organization
Contact information
Practice address
6 STATE RD, DANVERS, MA 01923-2567
(978) 774-1822
(978) 774-1734
Mailing address
6 STATE RD, DANVERS, MA 01923-2567
(978) 774-1822
(978) 774-1734
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
11337
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
X10612
BLUE CROSS BLUE SHIELD #
MA
Enumeration date
04/12/2007
Last updated
08/22/2020
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