Organization
PEABODY DENTAL SPECIALTIES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD PACHELLO (PRESIDENT CHIEF REVENUE OFFICER)
(720) 475-6482
Entity
Organization
Contact information
Practice address
229 ANDOVER ST, PEABODY, MA 01960-1539
(508) 872-3072
Mailing address
5 MOUNT ROYAL AVE STE 300, MARLBOROUGH, MA 01752-1900
(508) 872-3072
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223P0221X
Pediatric Dentistry
—
—
Other
Enumeration date
01/06/2022
Last updated
01/28/2026
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