Organization Name: | DR MATTHEW HEALEY DMD PC |
NPI Number: | 1134372634 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MATTHEW HEALEY (PRESIDENT) |
Mailing Address: | 446 Boston Rd Billerica |
State: | MA US |
Postal Code: | 018212714 |
Phone Number: | 9782620066 |
Fax Number: | |
NPI Enumeration Date: | 10/28/2008 |
NPI Last Update Date: | 10/28/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QD0000X |
License Number: | 18560 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Dental |
Taxonomy Definition: |