Organization
KEVIN M. KELAHER, D.M.D., P.C.
Active
Other names
Highland Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN M KELAHER D.M.D. (PRESIDENT)
(978) 740-5135
Entity
Organization
Contact information
Practice address
100 HIGHLAND AVE, SUITE 103, SALEM, MA 01970-2702
(978) 740-5135
(978) 740-5105
Mailing address
100 HIGHLAND AVE, SUITE 103, SALEM, MA 01970-2702
(978) 740-5135
(978) 740-5105
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12361
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
967167
UNITED CONCORDIA INS. CO.
MA
01
—
X11034
BLUECROSS BLUESHIELD
MA
Enumeration date
01/10/2007
Last updated
08/22/2020
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