Provider Demographics
NPI:1215690987
Name:SEVEN SPRINGS DENTAL LLC
Entity type:Organization
Organization Name:SEVEN SPRINGS DENTAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DELPHINE
Authorized Official - Middle Name:
Authorized Official - Last Name:DENIS SEVERE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:781-307-1478
Mailing Address - Street 1:36 HERITAGE RD
Mailing Address - Street 2:
Mailing Address - City:DRACUT
Mailing Address - State:MA
Mailing Address - Zip Code:01826-4300
Mailing Address - Country:US
Mailing Address - Phone:781-307-1478
Mailing Address - Fax:
Practice Address - Street 1:205 BROADWAY
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:MA
Practice Address - Zip Code:01840-1046
Practice Address - Country:US
Practice Address - Phone:781-307-1478
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-19
Last Update Date:2021-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty