Provider Demographics
NPI:1427130764
Name:DENTAL ARTS CENTER, P. C.
Entity type:Organization
Organization Name:DENTAL ARTS CENTER, P. C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIO
Authorized Official - Middle Name:
Authorized Official - Last Name:ABOUJAOUDE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:978-342-5313
Mailing Address - Street 1:1141 SOUTH ST
Mailing Address - Street 2:
Mailing Address - City:FITCHBURG
Mailing Address - State:MA
Mailing Address - Zip Code:01420-7029
Mailing Address - Country:US
Mailing Address - Phone:978-342-5313
Mailing Address - Fax:978-345-3518
Practice Address - Street 1:1141 SOUTH ST
Practice Address - Street 2:
Practice Address - City:FITCHBURG
Practice Address - State:MA
Practice Address - Zip Code:01420-7029
Practice Address - Country:US
Practice Address - Phone:978-342-5313
Practice Address - Fax:978-345-3518
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty