Organization · Type 2 NPI

Omni Dentix & Assoc.

Pediatric Dentistry · Medford, MA

NPI number 1104088491 Active

Practice location

3850 Mystic Valley Pkwy, Suite 20
Medford, MA 02155-6901

Fax (781) 395-4292

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry 1223G0001X20309 (MA)
Pediatric Dentistry Primary 1223P0221X15376 (MA)
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X13913 (MA)

Pediatric Dentistry: 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.

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About NPI 1104088491

Omni Dentix & Assoc.'s National Provider Identifier is 1104088491, issued on Jun 27, 2008. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Medford, MA. The record was last updated on Jun 27, 2008.