Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Aqua Dental LLC

Organization Dental Clinic/Center · NPI 1336392505

Aqua Dental LLC is a Dental Clinic/Center in Randolph, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2008.

Licensed in
MA
In the registry since
2008
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1395 N Main St
Randolph, MA 02368-1768
Phone: (781) 963-6077
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X · Licence 18450 (MA)

Record details

NPI number1336392505
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Fayerman — Owner · (781) 963-6077
NPI enumeratedOctober 31, 2008
Last updated in NPPESOctober 31, 2008
Mailing address1395 N Main St, Randolph, MA 02368-1768

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