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NPI 1962422782

NPI 1962422782 : DENTISTRY FOR CHILDREN PC : SO WEYMOUTH, MA

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General NPI Number Information
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    NPI Number           |    1962422782
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    Entity Type          |    Organization 
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    Legal Business Name  |    DENTISTRY FOR CHILDREN PC 
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Dates
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    Enumeration Date     |    07/21/2006
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    851 MAIN ST #3 NEVIN PROFESSIONAL BUILDING
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    City                 |    SO WEYMOUTH
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    State                |    MA
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    Zip                  |    02190-1613
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    Country              |    US
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    Telephone            |    781-331-0140
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    Fax                  |    781-337-4700
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Provider Business Mailing Address
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    Address Line         |    851 MAIN ST #3
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    City                 |    SO WEYMOUTH
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    State                |    MA
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    Zip                  |    02190-1613
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    Country              |    US
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    Telephone            |    781-331-0140
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    Fax                  |    781-337-4700
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     ELI C SCHNEIDER 
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    Credential           |    DMD
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    Telephone            |    781-331-0140
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1223P0221X
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    Taxonomy Name        |    Pediatric Dentistry
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    1223X0400X
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    Taxonomy Name        |    Orthodontics and Dentofacial Orthopedics Dentistry
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    License Number       |    
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    License Number State |    
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