Provider Demographics
NPI:1427068543
Name:BELIVEAU, EUGENE CHARLES (DDS)
Entity type:Individual
Prefix:DR
First Name:EUGENE
Middle Name:CHARLES
Last Name:BELIVEAU
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1060 OSGOOD ST
Mailing Address - Street 2:SUITE 3
Mailing Address - City:NORTH ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01845-1500
Mailing Address - Country:US
Mailing Address - Phone:978-687-5900
Mailing Address - Fax:
Practice Address - Street 1:1060 OSGOOD ST
Practice Address - Street 2:SUITE 3
Practice Address - City:NORTH ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01845-1500
Practice Address - Country:US
Practice Address - Phone:978-687-5900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA175451223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice