Acqua Family Dental
Organization Active NPI Dentist · Tewksbury, MA
NPI 1386967784 · NPPES record last updated Mar 12, 2010
Key facts
- NPI
- 1386967784
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- License
- 20845 (MA)
- Legal business name
- ACQUA FAMILY DENTAL
- Practice address
- 1756 Main St
Tewksbury, MA 01876-2003 - Phone
- (978) 851-7012
- NPI assigned
- Mar 12, 2010
- Organization subpart
- No
Authorized official
- Name
- Dr. Nanarao Krothapalli, D.M.D
- Title
- Dentist
- Phone
- (617) 223-1652
National Provider Directory
Locations
1756 Main St
Tewksbury, MA 01876
Phone (857) 919-6470
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | 20845 | MA | Yes |
Addresses
Primary practice location
1756 Main St
Tewksbury, MA 01876-2003
Mailing address
1756 Main St
Tewksbury, MA 01876-2003
Phone (978) 851-7012
Other providers in Tewksbury, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 12, 2010. 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.