NPI 1083628358 · live from the CMS NPI Registry
Pallonji Maneck Bhiladvala, DMD,MSD,FACD,FICD
Dentist, Orthodontics and Dentofacial Orthopedics in Andover, MA. National Provider Identifier 1083628358, active.
NPI record
| NPI | 1083628358 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 7 Agawam Ln, Andover, MA 01810 |
| Practice phone | 978-475-8000 |
| Enumerated | July 29, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 9628 (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.