Organization
EVERETT FAMILY DENTAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TODD PACHELLO (CHIEF REVENUE OFFICER)
(720) 475-6482
Entity
Organization
Contact information
Practice address
459 BROADWAY, EVERETT, MA 02149-3614
(617) 389-2005
(617) 389-1007
Mailing address
5 MOUNT ROYAL AVE STE 300, MARLBOROUGH, MA 01752-1900
(508) 460-0632
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN20209
MA
Other
Enumeration date
08/08/2018
Last updated
03/10/2026
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