Healthcare Provider Details

I. General information

NPI: 1295476703
Provider Name (Legal Business Name): MEGAN M HUYETT DMD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2022
Last Update Date: 05/30/2023
Certification Date: 05/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 OAK ST STE 2
NEEDHAM MA
02492-2470
US

IV. Provider business mailing address

15 OAK ST STE 2
NEEDHAM MA
02492-2470
US

V. Phone/Fax

Practice location:
  • Phone: 781-444-3853
  • Fax:
Mailing address:
  • Phone: 781-444-3853
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MEGAN HUYETT
Title or Position: DENTIST
Credential: DMD
Phone: 781-444-3853