Athena Dental Group PLLC
Organization Active NPI General Practice Dentistry · Woburn, MA
NPI 1205474202 · NPPES record last updated Dec 20, 2019
Key facts
- NPI
- 1205474202
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- Legal business name
- ATHENA DENTAL GROUP PLLC
- Practice address
- 318 Montvale Ave Ste 100
Woburn, MA 01801-4648 - Phone
- (857) 928-8197
- NPI assigned
- Dec 20, 2019
- Organization subpart
- No
Authorized official
- Name
- Dr. Deepak Balani, DMD, PHD
- Title
- Owner
- Phone
- (781) 999-1817
Practitioners 1
-
Deepak Balani, D.M.D., PH.D.
National Provider Directory
Locations
318 Montvale Ave
Ste 100
Woburn, MA 01801
Phone (781) 999-1817
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | Yes |
Addresses
Primary practice location
318 Montvale Ave Ste 100
Woburn, MA 01801-4648
Mailing address
318 Montvale Ave Ste 100
Woburn, MA 01801-4648
Phone (857) 928-8197
Other names
- Athena Dental Group
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Woburn | Direct |
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All providers in Woburn, 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 Dec 20, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.