Arthur Francis Eddy, D.M.D.
Individual provider Active NPI General Practice Dentistry · Shirley, MA
NPI 1154448249 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1154448249
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 13539 (MA)
- Practice address
- 228 Great Road
Shirley, MA 01464-2211 - Phone
- (978) 425-9088
- Fax
- (978) 425-4503
- NPI assigned
- Mar 23, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150922002472 | MA | Order and Referring Only - Dentist |
2264749332 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13539 | MA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arthur F Eddy DMD PC | General Practice | Past | Accepting new patients |
| Shirley Dental Care, Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 13539 | MA | Yes |
Addresses
Primary practice location
228 Great Road
Shirley, MA 01464-2211
Mailing address
228 Great Road
Shirley, MA 01464-2211
Phone (978) 425-9088
Other providers in Shirley, MA
- Rose-Ann Buchman
- Kathleen Marie Carvalho
- Clarity Counseling Services, LLC
- Nicole Cofer
- Sueann Coughlin
- Family Tree Home Care, Inc
- Frisch Enterprises LLC
- Richard Frisch
- Tammy L Gardell
- Cassandra Jane Gearin
All providers in Shirley, MA · General Practice Dentistry in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.