Newtonville Dental Associates, LLC

Organization Active NPI General Practice Dentistry · Newtonville, MA

NPI 1407012271 · NPPES record last updated Aug 1, 2022

Key facts

NPI
1407012271
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
License
19691 (MA)
Legal business name
NEWTONVILLE DENTAL ASSOCIATES, LLC
Practice address
701 Washington St
Newtonville, MA 02458-1386
Phone
(617) 558-8848
NPI assigned
Jul 31, 2008
Organization subpart
No

Authorized official

Name
Dr. Sarah Jordan, D.M.D.
Title
Ceo
Phone
(603) 682-3086

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

701 Washington St
Newtonville, MA 02458
Phone (617) 332-0050

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193200000X MULTI-SPECIALTY GROUP
1223G0001X 19691 MA Yes

Addresses

Primary practice location

701 Washington St
Newtonville, MA 02458-1386

Mailing address

701 Washington St
Newtonville, MA 02458-1386
Phone (603) 682-3086

Other providers in Newtonville, MA

All providers in Newtonville, MA · General Practice Dentistry in Massachusetts

Sources for this page

Verify at the official NPI Registry.