Provider Demographics
NPI:1902000706
Name:ASSOCIATES IN FAMILY DENTISTRY
Entity Type:Organization
Organization Name:ASSOCIATES IN FAMILY DENTISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRINCIPAL/PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ARMAND
Authorized Official - Middle Name:A
Authorized Official - Last Name:IEBBA
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:781-944-6761
Mailing Address - Street 1:161 ASH ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:READING
Mailing Address - State:MA
Mailing Address - Zip Code:01867
Mailing Address - Country:US
Mailing Address - Phone:781-944-6761
Mailing Address - Fax:781-942-1788
Practice Address - Street 1:198 ASH ST
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:MA
Practice Address - Zip Code:01867-3623
Practice Address - Country:US
Practice Address - Phone:781-944-6761
Practice Address - Fax:781-942-1788
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-14
Last Update Date:2021-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA16251122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty