Provider Demographics
NPI:1457545311
Name:N. TERRY FAYAD, D.M.D., P.C.
Entity Type:Organization
Organization Name:N. TERRY FAYAD, D.M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NAIEF
Authorized Official - Middle Name:TERRY
Authorized Official - Last Name:FAYAD
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:978-539-8932
Mailing Address - Street 1:80 LINDALL ST
Mailing Address - Street 2:#9
Mailing Address - City:DANVERS
Mailing Address - State:MA
Mailing Address - Zip Code:01923-2135
Mailing Address - Country:US
Mailing Address - Phone:978-539-8932
Mailing Address - Fax:888-600-4371
Practice Address - Street 1:80 LINDALL ST
Practice Address - Street 2:#9
Practice Address - City:DANVERS
Practice Address - State:MA
Practice Address - Zip Code:01923-2135
Practice Address - Country:US
Practice Address - Phone:978-539-8932
Practice Address - Fax:888-600-4371
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-04
Last Update Date:2017-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA168981223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty