Provider Demographics
NPI:1225376312
Name:NORTH END DENTAL ASSOCIATES
Entity Type:Organization
Organization Name:NORTH END DENTAL ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:RAJESH
Authorized Official - Middle Name:
Authorized Official - Last Name:PAREEK
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:617-908-2384
Mailing Address - Street 1:215 HANOVER ST STE 2F
Mailing Address - Street 2:SUITE 2F 204
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02113-2300
Mailing Address - Country:US
Mailing Address - Phone:617-908-2384
Mailing Address - Fax:
Practice Address - Street 1:215 HANOVER ST STE 2F
Practice Address - Street 2:SUITE 2F 204
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02113-2300
Practice Address - Country:US
Practice Address - Phone:617-908-2384
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-23
Last Update Date:2013-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA206391223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty