Provider Demographics
NPI:1114123577
Name:JANET S KREFTING DDS & RICHARD W. WALDMAN DMD,PC
Entity Type:Organization
Organization Name:JANET S KREFTING DDS & RICHARD W. WALDMAN DMD,PC
Other - Org Name:NEW CONCEPTS DENTAL GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:E
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-663-7638
Mailing Address - Street 1:330 BOSTON RD
Mailing Address - Street 2:UNIT 16
Mailing Address - City:N BILLERICA
Mailing Address - State:MA
Mailing Address - Zip Code:01862-2300
Mailing Address - Country:US
Mailing Address - Phone:978-663-7638
Mailing Address - Fax:978-667-9856
Practice Address - Street 1:330 BOSTON RD
Practice Address - Street 2:UNIT 16
Practice Address - City:N BILLERICA
Practice Address - State:MA
Practice Address - Zip Code:01862-2300
Practice Address - Country:US
Practice Address - Phone:978-663-7638
Practice Address - Fax:978-667-9856
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA11834122300000X
MA14003122300000X
MA148081223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered122300000XDental ProvidersDentistGroup - Multi-Specialty
Not Answered1223P0300XDental ProvidersDentistPeriodonticsGroup - Multi-Specialty