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

Stoneham Pediatric Dental Associates, PC

Organization Dentist · NPI 1225574577

Stoneham Pediatric Dental Associates, PC is a Dentist in Stoneham, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2017.

Licensed in
MA
In the registry since
2017
Specialties on file
3
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

67 Montvale Ave Ste 101
Stoneham, MA 02180-3618
Phone: (781) 279-2400
Fax: (781) 279-4640
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence DN1855141 (MA)
Dentist Taxonomy 122300000X · Licence DN1855141 (MA)
Dental Hygienist Taxonomy 124Q00000X · Licence DN1855141 (MA)

Record details

NPI number1225574577
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Pushpak Patel — President · (857) 919-2273
Other names Dr. Mickey'S Pediatric And Orthodontic Specialists
NPI enumeratedJanuary 10, 2017
Last updated in NPPESJanuary 10, 2017
Mailing address67 Montvale Ave, Suite 101, Stoneham, MA 02180-3618

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