VERSA DENTAL PLLC
NPI 1679459994
Dentist - General Practice in Beverly, MA

Active since August 12, 2025
495 CABOT ST STE 201, BEVERLY, MA 01915(862) 276-9243 Get Directions Write a Review

NPPES record last updated: August 12, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Versa Dental Pllc NPPES

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

VERSA DENTAL PLLC (NPI 1679459994), doing business as Versa Dental Studio, is a healthcare organization registered as a general practice in Beverly, Massachusetts and active in the NPI registry since August 2025. The organization lists Ximena D Venegas, Managing Dentist, as its authorized official.

NPPES Registry Identity

NPI1679459994
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameVERSA DENTAL PLLC
Location Address495 CABOT ST STE 201Beverly, MA 01915-1179
Mailing Address495 Cabot St Ste 201Beverly, MA 01915-1179
Organization SubpartNo
Authorized OfficialXimena D VenegasManaging Dentist · (862) 276-9243
Enumeration DateAugust 12, 2025
NPPES CertifiedAugust 12, 2025
NPI 1679459994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.

495 CABOT ST STE 201, Beverly, MA 01915

Other Names 1

Doing Business AsVersa Dental Studio

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

Other Providers at the Same Location NPPES

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

Dentist
495 CABOT ST STE 201
BEVERLY, MA 01915

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679459994, enumerated as an "organization" on August 12, 2025.

The provider is located at 495 CABOT ST STE 201 BEVERLY, MA 01915 and the phone number is (862) 276-9243.

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