1. Home
  2. Directory
  3. Massachusetts
  4. Beverly
  5. Dentist
  6. NPI Profile

BEVERLY DENTISTRY AND BRACES PC
NPI 1407446941
Dentist - General Practice in Beverly, MA

Active since January 19, 2021
55 DODGE ST STE A-190, BEVERLY, MA 01915(508) 872-3072(508) 872-0781 Get Directions Write a Review

NPPES record last updated: January 19, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Beverly Dentistry And Braces Pc NPPES

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

BEVERLY DENTISTRY AND BRACES PC (NPI 1407446941) is a healthcare organization registered as a general practice in Beverly, Massachusetts and active in the NPI registry since January 2021. The organization lists Joanne Tavano, Cfo, as its authorized official.

NPPES Registry Identity

NPI1407446941
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameBEVERLY DENTISTRY AND BRACES PC
Location Address55 DODGE ST STE A-190Beverly, MA 01915-1705
Mailing Address5 Mount Royal Ave Ste 300Marlborough, MA 01752-1900 · (508) 872-3072 · Fax (508) 872-0781
Phone(508) 872-3072
Fax(508) 872-0781
Organization SubpartNo
Authorized OfficialJoanne TavanoCfo · (978) 580-1524
Enumeration DateJanuary 19, 2021
NPPES CertifiedJanuary 19, 2021
✔ NPI 1407446941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X
55 DODGE ST STE A-190, Beverly, MA 01915
Open in Google Maps ↗

Other Identifiers 1

Medicaid110078301AMA

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

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 Beverly Dentistry And Braces PC's NPI number?

The NPI number for Beverly Dentistry And Braces PC is 1407446941. It was assigned to this organization in the NPPES registry on January 19, 2021.

Where is Beverly Dentistry And Braces PC located?

Beverly Dentistry And Braces PC is located at 55 Dodge St Ste A-190, Beverly, MA 01915. The listed phone number is (508) 872-3072.

What is Beverly Dentistry And Braces PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Beverly Dentistry And Braces PC was last updated on January 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.