Healthcare Provider Details

I. General information

NPI: 1568325223
Provider Name (Legal Business Name): PLEASANT VALLEY DENTAL HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

380 MERRIMACK ST STE 3E
METHUEN MA
01844-5871
US

IV. Provider business mailing address

380 MERRIMACK ST STE 3E
METHUEN MA
01844-5871
US

V. Phone/Fax

Practice location:
  • Phone: 978-685-2511
  • Fax: 978-683-3985
Mailing address:
  • Phone: 978-685-2511
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: EDMAR UPITE
Title or Position: DENTIST
Credential: DDS
Phone: 978-685-2511