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NPI Code Detail

MEDICARE: NASHUA DENTISTRY AND BRACES INC

MEDICARE: NASHUA DENTISTRY AND BRACES INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223X0400XOrthodontics and Dentofacial Orthopedics Dentistry
21223G0001XGeneral Practice Dentistry

General Provider Information

NPI Number : 1720602287
Entity Type Code : Organization
Provider Name (Legal Business Name) : NASHUA DENTISTRY AND BRACES INC
Provider Business Mailing Address
First Line : 5 MOUNT ROYAL AVE STE 300
Second Line :
City : MARLBOROUGH
State : MA
Zip : 01752-1900
Country : US
Telephone Number : 508-872-3072
Fax Number : 508-872-0781
Provider Business Practice Location Address
First Line : 375 AMHERST ST STE 8
Second Line :
City : NASHUA
State : NH
Zip : 03063-1216
Country : US
Telephone Number : 603-717-3500
Fax Number :
Authorized Official
Title or Position : CHIEF REVENUE OFFICER
Name : TODD PACHELLO
Credential :
Telephone Number : 720-475-6482
Provider Enumeration Date : 06/01/2020
Last Update Date : 03/10/2026

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Directions to “NASHUA DENTISTRY AND BRACES INC ” Practice Location

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