GREAT MARSH PEDIATRIC DENTISTRY
NPI 1407690878
Dentist - Pediatric Dentistry in Georgetown, MA

Q: What is Great Marsh Pediatric Dentistry's NPI number?

The NPI number for Great Marsh Pediatric Dentistry is 1407690878. It was assigned to this organization in the NPPES registry on June 20, 2024.

Q: What is Great Marsh Pediatric Dentistry's specialty?

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

Active since June 20, 2024

65 CENTRAL ST UNIT 101, GEORGETOWN, MA 01833(781) 771-9287 Get Directions Write a Review

NPPES record last updated: June 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Great Marsh Pediatric Dentistry NPPES

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

GREAT MARSH PEDIATRIC DENTISTRY (NPI 1407690878) is a healthcare organization registered as a pediatric dentistry in Georgetown, Massachusetts and active in the NPI registry since June 2024. The organization lists Marina Mooradian, Pediatric Dentist/owner, as its authorized official.

NPPES Registry Identity

NPI1407690878

Entity TypeOrganization

Primary Taxonomy1223P0221X

Legal Business NameGREAT MARSH PEDIATRIC DENTISTRY

Location Address65 CENTRAL ST UNIT 101Georgetown, MA 01833-2425

Mailing Address9 Mill RdIpswich, MA 01938-1608 · (781) 771-9287

Phone(781) 771-9287

Organization SubpartNo

Authorized OfficialMarina MooradianPediatric Dentist/owner · (781) 771-9287

Enumeration DateJune 20, 2024

NPPES CertifiedJune 18, 2024

✔ NPI 1407690878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

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.

65 CENTRAL ST UNIT 101, Georgetown, MA 01833

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 Great Marsh Pediatric Dentistry's NPI number?

The NPI number for Great Marsh Pediatric Dentistry is 1407690878. It was assigned to this organization in the NPPES registry on June 20, 2024.

Where is Great Marsh Pediatric Dentistry located?

Great Marsh Pediatric Dentistry is located at 65 Central St Unit 101, Georgetown, MA 01833. The listed phone number is (781) 771-9287.

What is Great Marsh Pediatric Dentistry's specialty?

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

When was this NPI record last updated?

The NPPES record for Great Marsh Pediatric Dentistry was last updated on June 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.