MASSACHUSETTS DENTAL PROFESSIONALS, P.C.
NPI 1669055612
Dentist - General Practice in Peabody, MA

Active since April 28, 2021
6 ESSEX CENTER DR STE 210, PEABODY, MA 01960(978) 531-3010 Get Directions Write a Review

NPPES record last updated: April 28, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Dentist
  • General Practice

About MASSACHUSETTS DENTAL PROFESSIONALS, P.C.

This page provides the complete NPI Profile along with additional information for Massachusetts Dental Professionals, P.c., a provider established in Peabody, Massachusetts operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1669055612 assigned on April 2021. The practitioner's primary taxonomy code is 1223G0001X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Tabatha Lemke (Credentialing Coordinator)

NPI
1669055612 Verify this NPI
Provider Name
MASSACHUSETTS DENTAL PROFESSIONALS, P.C.
Entity Type
Organization
Location Address
6 ESSEX CENTER DR STE 210 PEABODY, MA 01960
Location Phone
(978) 531-3010
Mailing Address
6 ESSEX CENTER DR STE 210 PEABODY, MA 01960
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
04-28-2021
Last Update Date
04-28-2021
Code Navigator

A dentist like Massachusetts Dental Professionals, P.c. is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

TABATHA LEMKE

Authorized Official Title
CREDENTIALING COORDINATOR
Authorized Official Phone
(217) 540-6078

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Clinic/Center (Dental)
6 ESSEX CENTER DR STE 210
PEABODY, MA 01960

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669055612, enumerated as an "organization" on April 28, 2021.

The provider is located at 6 ESSEX CENTER DR STE 210 PEABODY, MA 01960 and the phone number is (978) 531-3010.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.