Merrimack Dental Assoc., PC

Primary specialty

DentistTaxonomy code 122300000X

License

19336 Issued in MA

Legal business name

MERRIMACK DENTAL ASSOC., PC

Practice address

126A Pleasant Valley St
Methuen, MA 01844-7217

Phone

(978) 682-0336

Fax

(978) 683-1874

NPI assigned

Jun 6, 2008

Last updated

Jun 6, 2008By 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. Kinan Kanbar, DMD

Title

Dentist

Phone

(978) 263-2955

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1212710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212710400000",
    "number": "1972762615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126A PLEASANT VALLEY ST",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018447217",
            "telephone_number": "978-682-0336",
            "fax_number": "978-683-1874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126A PLEASANT VALLEY ST",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018447217",
            "telephone_number": "978-682-0336",
            "fax_number": "978-683-1874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERRIMACK DENTAL ASSOC., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-06",
        "last_updated": "2008-06-06",
        "status": "A",
        "authorized_official_last_name": "KANBAR",
        "authorized_official_first_name": "KINAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "978-263-2955",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "19336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Claire Melley
• Jessica Mendez, BSN
• Merrimack Valley Counseling Center
• Merrimack Valley Medical Associates, PC
• Merrimack Valley Nephrology,Hypertension,& Internal Medicine,PC
• Merrimack Valley Pet PC (New England PET Imaging System)
• Merrimack Valley Radiation Oncology Associates, LLC

• Dentist in Methuen, MA
• Providers in Methuen, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2008; 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.