Provider Demographics
NPI:1730797473
Name:NDMG MASSACHUSETTS DENTAL HOLDINGS, P.C.
Entity type:Organization
Organization Name:NDMG MASSACHUSETTS DENTAL HOLDINGS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO / OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:PAPAPETROS
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:978-886-2678
Mailing Address - Street 1:1 TECHNOLOGY PARK DR STE C
Mailing Address - Street 2:
Mailing Address - City:BOURNE
Mailing Address - State:MA
Mailing Address - Zip Code:02532-8338
Mailing Address - Country:US
Mailing Address - Phone:781-771-5700
Mailing Address - Fax:
Practice Address - Street 1:1 TECHNOLOGY PARK DR STE C
Practice Address - Street 2:
Practice Address - City:BOURNE
Practice Address - State:MA
Practice Address - Zip Code:02532-8338
Practice Address - Country:US
Practice Address - Phone:781-771-5700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-20
Last Update Date:2020-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty