Healthcare Provider Details

I. General information

NPI: 1164888947
Provider Name (Legal Business Name): NEW ENGLAND ENDODONTIC SOLUTIONS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2016
Last Update Date: 01/08/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

126A PLEASANT VALLEY ST
METHUEN MA
01844-7217
US

IV. Provider business mailing address

126A PLEASANT VALLEY ST
METHUEN MA
01844-7217
US

V. Phone/Fax

Practice location:
  • Phone: 978-681-7873
  • Fax: 978-688-9973
Mailing address:
  • Phone: 978-681-7873
  • Fax: 978-688-9973

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number1855936
License Number StateMA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: DR. HONGSHENG LIU
Title or Position: OWNER/ENDODONTIST
Credential: DMD
Phone: 978-681-7873