Healthcare Provider Details

I. General information

NPI: 1144657826
Provider Name (Legal Business Name): READING ENDODONTICS, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2013
Last Update Date: 09/26/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

315 MAIN ST SUITE 302
READING MA
01867-3666
US

IV. Provider business mailing address

315 MAIN ST SUITE 302
READING MA
01867-3666
US

V. Phone/Fax

Practice location:
  • Phone: 781-670-7668
  • Fax:
Mailing address:
  • Phone: 781-670-7668
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number20596
License Number StateMA

VIII. Authorized Official

Name: DR. BRIAN CHUANG
Title or Position: OWNER
Credential: DMD
Phone: 781-670-7668