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Active NPI 1205109436 Individual Practitioner Male Practitioner

Dr. Matthew Lee Bagnall , DMD

Dentist - General Practice • Andover, MA

Professional Overview & Biography Verified Profile Summary

Dr. Matthew Bagnall, DMD is a registered healthcare professional specializing in Dentist - General Practice in Andover, MA. Practice services are available at 16 HAVERHILL ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

16 Haverhill St

Andover, MA 018103002

Telephone 9784753997
Associated Practice Facility / Clinic
🏢 Essex Physical Therapy Facility NPI 1699964742

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Andover, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
19 Specialists

Practicing in Andover, MA (3722 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MA DN1856571

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Nanette Rivera Panzardi

Dentist - General Practice

NPI 1003559451
Dr. Kevin Bagnall , DDS

Dentist - General Practice

NPI 1598794224

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 25, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location June 25, 2014

Registered at 16 HAVERHILL ST, ANDOVER, MA 018103002 (Tel: 9784753997)

📍
Updated Business Mailing Address June 25, 2014

Registered at 16 HAVERHILL ST, ANDOVER, MA 018103002 (Tel: 9784753997)

👤
Provider Name / Credentials Updated June 25, 2014

Recorded as MATTHEW BAGNALL, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 25, 2014

Dentist (License #DN1856571 in MA)

🟢
Initial NPI Registration & Enumeration February 19, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1205109436
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 19, 2012
Last Update: June 25, 2014
Sole Proprietor: No

Mailing Address

16 Haverhill St

Andover, MA 018103002

Phone: 9784753997

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.