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DR. MICKEY'S PEDIATRIC AND ORTHODONTIC SPECIALISTS
NPI 1225574577
Dentist - Pediatric Dentistry in Stoneham, MA

Active since January 10, 2017
67 MONTVALE AVE, SUITE 101, STONEHAM, MA 02180(781) 279-2400(781) 279-4640 Get Directions Write a Review

NPPES record last updated: January 10, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Mickey's Pediatric And Orthodontic Specialists NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MICKEY'S PEDIATRIC AND ORTHODONTIC SPECIALISTS (NPI 1225574577) is a healthcare organization registered as a pediatric dentistry in Stoneham, Massachusetts and active in the NPI registry since January 2017. The organization lists Pushpak Patel, President, as its authorized official.

NPPES Registry Identity

NPI1225574577
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameSTONEHAM PEDIATRIC DENTAL ASSOCIATES, PC
Location Address67 MONTVALE AVE, SUITE 101Stoneham, MA 02180-3618
Mailing Address67 Montvale Ave, Suite 101Stoneham, MA 02180-3618 · (781) 279-2400 · Fax (781) 279-4640
Phone(781) 279-2400
Fax(781) 279-4640
Organization SubpartNo
Authorized OfficialPushpak PatelPresident · (857) 919-2273
Enumeration DateJanuary 10, 2017
✔ NPI 1225574577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in MA · DN1855141
Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Also ListedDentistTaxonomy 122300000X · License DN1855141 (MA)
Also ListedDental HygienistTaxonomy 124Q00000X · License DN1855141 (MA)
67 MONTVALE AVE, Stoneham, MA 02180
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Other Names 1

Doing Business AsDr. Mickey's Pediatric And Orthodontic Specialists

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEGHAN WILHELMI D.M.D.
Dentist (Pediatric Dentistry)
67 MONTVALE AVE, STE. 101
STONEHAM, MA 02180
Middlesex County (781) 279-2400
EUGENE A MICKEY, DMD, MPH, PC
Dentist (Pediatric Dentistry)
67 MONTVALE AVE, SUITE 101
STONEHAM, MA 02180
Middlesex County (781) 279-2400
BOB CHENG D.M.D
Dentist (General Practice)
67 MONTVALE AVE
STONEHAM, MA 02180
Middlesex County (781) 279-2400
DR. EUGENE A. MICKEY D.M.D.
Dentist (Pediatric Dentistry)
67 MONTVALE AVE, SUITE 101
STONEHAM, MA 02180
Middlesex County (781) 279-2400
MARINA MOORADIAN DMD
Dentist (Pediatric Dentistry)
67 MONTVALE AVE
STONEHAM, MA 02180
Middlesex County (781) 279-2400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stoneham Pediatric Dental Associates, PC's NPI number?

The NPI number for Stoneham Pediatric Dental Associates, PC is 1225574577. It was assigned to this organization in the NPPES registry on January 10, 2017. The provider is doing business as Dr. Mickey's Pediatric And Orthodontic Specialists.

Where is Stoneham Pediatric Dental Associates, PC located?

Stoneham Pediatric Dental Associates, PC is located at 67 Montvale Ave Suite 101, Stoneham, MA 02180. The listed phone number is (781) 279-2400.

What is Stoneham Pediatric Dental Associates, PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Stoneham Pediatric Dental Associates, PC accept?

Health plans from UnitedHealthcare list Stoneham Pediatric Dental Associates, PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Stoneham Pediatric Dental Associates, PC was last updated on January 10, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.