Organization
MERRIMACK DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MILLER DDS (PRESIDENT)
(508) 926-8660
Entity
Organization
Contact information
Practice address
21 GEORGE ST, #G5, LOWELL, MA 01852-2228
(508) 926-8660
(508) 926-8667
Mailing address
21 GEORGE ST, #G5, LOWELL, MA 01852-2228
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0300X
Periodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
124Q00000X
Dental Hygienist
—
—
126800000X
Dental Assistant
—
—
Other
Enumeration date
04/30/2015
Last updated
04/30/2015
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