Provider Demographics
NPI:1396341525
Name:KINGSTON DENTAL ARTS PLLC
Entity type:Organization
Organization Name:KINGSTON DENTAL ARTS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:PINETTE
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:207-316-6435
Mailing Address - Street 1:863 DALE ST
Mailing Address - Street 2:
Mailing Address - City:NORTH ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01845-1421
Mailing Address - Country:US
Mailing Address - Phone:207-316-6435
Mailing Address - Fax:
Practice Address - Street 1:1 CHASE ST
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:NH
Practice Address - Zip Code:03848-3005
Practice Address - Country:US
Practice Address - Phone:603-642-3276
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-11
Last Update Date:2021-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty