Provider Demographics
NPI:1871466193
Name:NEWBURYPORT DENTAL CARE AND IMPLANT CENTER
Entity type:Organization
Organization Name:NEWBURYPORT DENTAL CARE AND IMPLANT CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:ELIAS
Authorized Official - Suffix:
Authorized Official - Credentials:DMD PC
Authorized Official - Phone:917-324-5188
Mailing Address - Street 1:68 PROSPECT ST UNIT 7
Mailing Address - Street 2:
Mailing Address - City:PEABODY
Mailing Address - State:MA
Mailing Address - Zip Code:01960-1775
Mailing Address - Country:US
Mailing Address - Phone:917-324-5188
Mailing Address - Fax:
Practice Address - Street 1:16 HARRIS ST
Practice Address - Street 2:
Practice Address - City:NEWBURYPORT
Practice Address - State:MA
Practice Address - Zip Code:01950-2603
Practice Address - Country:US
Practice Address - Phone:978-462-9643
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-24
Last Update Date:2025-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental