Provider Demographics
NPI:1851412969
Name:MERIDIAN HEALTH ASSOCIATES
Entity Type:Organization
Organization Name:MERIDIAN HEALTH ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF DENTAL DIVISION
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:SANCHEZ
Authorized Official - Suffix:II
Authorized Official - Credentials:DMD
Authorized Official - Phone:978-744-8973
Mailing Address - Street 1:16 FRONT ST
Mailing Address - Street 2:SUITE 302
Mailing Address - City:SALEM
Mailing Address - State:MA
Mailing Address - Zip Code:01970-3771
Mailing Address - Country:US
Mailing Address - Phone:978-744-8973
Mailing Address - Fax:978-744-7894
Practice Address - Street 1:16 FRONT ST
Practice Address - Street 2:SUITE 302
Practice Address - City:SALEM
Practice Address - State:MA
Practice Address - Zip Code:01970-3771
Practice Address - Country:US
Practice Address - Phone:978-744-8973
Practice Address - Fax:978-744-7894
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA18274122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty