Laila Amanda Dantas, D.M.D.
Individual provider Active NPI Pediatric Dentistry · Raynham, MA
NPI 1467748418 · NPPES record last updated Sep 23, 2020
Key facts
- NPI
- 1467748418
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Dentistry 1223P0221X
- License
- DN1857272 (MA)
- Practice address
- 302 Broadway Unit 1
Raynham, MA 02767-1439 - Phone
- (508) 884-4000
- NPI assigned
- Jun 28, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN1857272 | MA | MD | Pediatric Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DN1857272 | MA | Yes |
Addresses
Primary practice location
302 Broadway Unit 1
Raynham, MA 02767-1439
Mailing address
302 Broadway
Raynham, MA 02767-1439
Phone (508) 884-4000
Other practice location 1
263 Farmington Ave
Farmington, CT 06030-0001
Phone (860) 679-2000
Other providers in Raynham, MA
- Ashley Marie Cummings
- Meredith Anne Curry
- Susan R. Curtiss
- CVS Pharmacy Inc
- CVS Pharmacy Inc
- DCS Mental Health, Inc
- Lindsey Deneault
- Dental Dreams LLC
- DG Physical Therapy, P.C.
- Sandra Diaz
All providers in Raynham, MA · Pediatric 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 Sep 23, 2020. 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.