Provider Demographics
NPI:1538699343
Name:A MOTHER'S TOUCH PEDIATRIC DENTISTRY
Entity Type:Organization
Organization Name:A MOTHER'S TOUCH PEDIATRIC DENTISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PEDIATRIC DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:ANUBHA
Authorized Official - Middle Name:
Authorized Official - Last Name:SACHETI
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:978-342-7000
Mailing Address - Street 1:104 WHALON ST STE 2D
Mailing Address - Street 2:
Mailing Address - City:FITCHBURG
Mailing Address - State:MA
Mailing Address - Zip Code:01420-7128
Mailing Address - Country:US
Mailing Address - Phone:617-812-0556
Mailing Address - Fax:
Practice Address - Street 1:104 WHALON ST
Practice Address - Street 2:SUITE 2D
Practice Address - City:FITCHBURG
Practice Address - State:MA
Practice Address - Zip Code:02139
Practice Address - Country:US
Practice Address - Phone:617-812-0556
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAD0215391223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty