Provider Demographics
NPI:1376731620
Name:SALISBURY FAMILY DENTAL
Entity Type:Organization
Organization Name:SALISBURY FAMILY DENTAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EYAD
Authorized Official - Middle Name:
Authorized Official - Last Name:AL MAHAYNI
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:978-465-8831
Mailing Address - Street 1:19 LAFAYETTE ROAD
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01952-2613
Mailing Address - Country:US
Mailing Address - Phone:978-465-8831
Mailing Address - Fax:978-465-2062
Practice Address - Street 1:19 LAFAYETTE ROAD
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:MA
Practice Address - Zip Code:01952-2613
Practice Address - Country:US
Practice Address - Phone:978-465-8831
Practice Address - Fax:978-465-2062
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-11
Last Update Date:2007-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty