| Bagnall Family Dentistry, Llc | |
|
16 Haverhill St Andover MA 01810-3002 | |
| (978) 475-3997 | |
| (978) 409-6065 |
| Full Name | Bagnall Family Dentistry, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 16 Haverhill St, Andover, Massachusetts |
| Authorized Official Name and Position | Matthew Lee Bagnall (OWNER) |
| Authorized Official Contact | 9784753997 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bagnall Family Dentistry, Llc 16 Haverhill St Andover MA 01810-3002 Ph: (978) 475-3997 | Bagnall Family Dentistry, Llc 16 Haverhill St Andover MA 01810-3002 Ph: (978) 475-3997 |
| NPI Number | 1851892723 |
|---|---|
| Provider Enumeration Date | 02/26/2018 |
| Last Update Date | 02/26/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851892723 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN1856571 (Massachusetts) | Primary |
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