Andover Dental Group, LLC

Organization Active NPI General Practice Dentistry · Andover, MA

NPI 1992075337 · NPPES record last updated Jan 3, 2012

Key facts

NPI
1992075337
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
License
18322 (MA)
Legal business name
ANDOVER DENTAL GROUP, LLC
Practice address
2 Elm SQ
Ste 202
Andover, MA 01810-3668
Phone
(978) 475-4772
Fax
(978) 475-0597
NPI assigned
Jan 3, 2012
Organization subpart
No

Authorized official

Name
Dr. Brian E Murphy, DMD
Title
Owner
Phone
(978) 475-4772

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

2 Elm Sq
Ste 202
Andover, MA 01810
Phone (978) 475-4772

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223G0001X 18322 MA Yes

Addresses

Primary practice location

2 Elm SQ
Ste 202
Andover, MA 01810-3668

Mailing address

2 Elm SQ
Ste 202
Andover, MA 01810-3668
Phone (978) 475-4772

Other providers in Andover, MA

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

Sources for this page

Verify at the official NPI Registry.