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DENTAL HQ LLC NPI 1194419093


NPI Information

NPI: 1194419093
Provider Name: DENTAL HQ LLC

Doing Business As: CRYSTAL DENTAL FAMILY

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
23 UNION ST
BRIDGEWATER, MA
ZIP 02324
Phone: (508) 697-6596
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DENTAL HQ LLC is a dental clinic center in Bridgewater, MA. DENTAL HQ LLC NPI is 1194419093. The provider is registered as an organization entity type.
The provider Is Doing Business As Crystal Dental Family.

The provider's business location address is:

23 UNION ST
BRIDGEWATER, MA
ZIP 02324-412
Phone: (508) 697-6596

The provider's authorized official is Omar Al-kazaz .
The authorized official title is Dentist and has the following contact phone number (617) 990-2143.

The enumeration date for this NPI number is 6/5/2023 and was last updated on 6/7/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD0000XClinic/CenterDentalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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