Great Pond Dental Pc

LBN: Great Pond Dental Pc
Great Pond Dental Pc is an health care organization with primary practice located at 202 Lowell St , Wakefield MA 01880-1017. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Great Pond Dental Pc can be contacted via phone (781) 245-1731, or through Komarovskaya, Inna O via phone (781) 245-1731.

Contact Information

Primary practice address
202 Lowell St Wakefield MA 01880-1017
Phone: (781) 245-1731
Fax: (781) 245-2325
Website:
Map and Directions
Authorized official contact:
Name: Komarovskaya, Inna O Doctor of Dental Medicine (DMD)
Phone: (781) 245-1731

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN21849 Massachusetts

Profile Details

NPI number 1194088096
LBN Legal business name Great Pond Dental Pc
DBA Doing business as
Authorized official Komarovskaya, Inna O Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 17th, 2012
Last updated Aug 27th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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