Peabody Dental Spa, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PEABODY DENTAL SPA, PLLC

Doing business as

Peabody Smile Design

Practice address

124 Newbury St Unit D
Peabody, MA 01960-4066

Phone

(517) 316-6314

NPI assigned

Nov 28, 2017

Last updated

Apr 24, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Dhara Shah, DMDNPI 1124457924

Title

Owner

Phone

(517) 316-6314

Specialties & licenses 2

Addresses

Other names 1

• PEABODY SMILE DESIGN Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dhara Shah, D.M.D

  • General Practice Dentistry
  • Upton, MA
  • NPI 1124457924
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1511827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682294400000",
    "number": "1831603968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 NEWBURY ST STE D",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019604067",
            "telephone_number": "978-278-5478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 NEWBURY ST UNIT D",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019604066",
            "telephone_number": "517-316-6314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEABODY DENTAL SPA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-28",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "DHARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-316-6314",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PEABODY SMILE DESIGN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pavlo Orthodontics, PC
• John Arthur Pavlo, DMD
• Jocelyn Ann Pawl, MSPT
• Peabody Dental Group, LLC
• Peabody Dental LLC (Contemporary Dentistry and Implantology)
• Peabody Dental Specialties PLLC
• Peabody Family Chiropractic, Inc.
• Peabody Family Dental PLLC
• Peabody Management Systems Inc (Pilgrim Rehabilitation & Skilled Nursing Center)
• Peabody OBGYN, LLC

• General Practice Dentistry in Peabody, MA
• Providers in Peabody, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.