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

Medford Main Street Dental PC

Organization Dentist · NPI 1124894894

Medford Main Street Dental PC is a Dentist in Medford, Massachusetts. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

101 Main St Ste 207
Medford, MA 02155-4530
Phone: (917) 455-6237
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1124894894
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tien Do — Owner · (917) 455-6237
NPI enumeratedDecember 4, 2023
Last updated in NPPESDecember 4, 2023
Certification dateDecember 3, 2023
Mailing address101 Main St Ste 207, Medford, MA 02155-4530

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