NPI 1629366604 · live from the CMS NPI Registry
Moira Kennedy Casey, D.M.D.
Dentist, Orthodontics and Dentofacial Orthopedics in Melrose, MA. National Provider Identifier 1629366604, active.
NPI record
| NPI | 1629366604 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 540 Lynn Fells Pkwy, Melrose, MA 02176 |
| Practice phone | 781-665-1355 |
| Enumerated | July 12, 2011 |
| Last updated | September 16, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | DN1856182 (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.