Provider Demographics
NPI:1235360520
Name:ARCH ORTHODONTICS PC
Entity Type:Organization
Organization Name:ARCH ORTHODONTICS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:DANIELCZYK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-963-4335
Mailing Address - Street 1:4 FRANK LEARY WAY
Mailing Address - Street 2:
Mailing Address - City:RANDOLPH
Mailing Address - State:MA
Mailing Address - Zip Code:02368-4512
Mailing Address - Country:US
Mailing Address - Phone:781-963-4335
Mailing Address - Fax:781-963-4335
Practice Address - Street 1:4 FRANK LEARY WAY
Practice Address - Street 2:
Practice Address - City:RANDOLPH
Practice Address - State:MA
Practice Address - Zip Code:02368-4512
Practice Address - Country:US
Practice Address - Phone:781-963-4335
Practice Address - Fax:781-963-4335
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ARCH ORTHODONTICS PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-08-04
Last Update Date:2009-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty