MEDICARE: NORTH READING FAMILY DENTISTRY, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QD0000X	Dental Clinic/Center

General Provider Information

NPI Number	:	1154883783
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTH READING FAMILY DENTISTRY, PLLC

Provider Business Mailing Address
First Line	:	20 IRVING RD
Second Line	:
City	:	LYNN
State	:	MA
Zip	:	01905-1923
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	180 PARK ST
Second Line	:
City	:	NORTH READING
State	:	MA
Zip	:	01864-2375
Country	:	US
Telephone Number	:	978-664-2081
Fax Number	:

Authorized Official
Title or Position	:	DENTIST
Name	:	AMRITA SINGH
Credential	:	DMD
Telephone Number	:	321-695-6685

Provider Enumeration Date	:	04/02/2019
Last Update Date	:	04/02/2019

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