Individual
DR. VAIBHAV MAHESH JAGAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
60 EAST ST STE 2500, METHUEN, MA 01844-4519
(978) 788-9303
(978) 237-4003
Mailing address
320 MIDDLESEX AVE UNIT C208, MEDFORD, MA 02155-5084
(815) 995-2852
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019031412
IL
122300000X
Dentist
DN1857831
MA
1223G0001X
General Practice Dentistry
019031412
IL
1223G0001X
General Practice Dentistry
DN1857831
MA
1223P0221X
Pediatric Dentistry
Primary
DN1857831
MA
Other
Enumeration date
09/26/2017
Last updated
03/26/2025
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