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Organization

Holly Tree Dental

NPI Record: ActiveDentist — Endodontics
NPI1720152929
Hanover, Massachusetts

Provider's NPPES record last updated: September 11, 2025

Overview

Entity Type
Organization
NPI
1720152929
Primary Specialty
Dentist — Endodontics
Practice Location
Hanover, Massachusetts
Organization Subpart
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 18, 2026, 7:21 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Dentist

    Endodontics

    Dental Providers

    Primary

    The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

    Taxonomy code 1223E0200X
  • Dentist

    General Practice

    Dental Providers

    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.

    Taxonomy code 1223G0001X
  • Dentist

    Oral and Maxillofacial Surgery

    Dental Providers

    The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

    Taxonomy code 1223S0112X

Provider-Reported License Information

Dentist (Massachusetts)
17285
Dentist (Massachusetts)
12528
Dentist (Massachusetts)
17593
Dentist (Massachusetts)
20805
Dentist (Massachusetts)
17127
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

171 Rockland Street

Hanover, Massachusetts 02339

Phone: (781) 826-8331

Record Information

Enumeration Date
November 20, 2006
Provider's NPPES Record Last Updated
September 11, 2025
NPISignal NPPES Dataset
August 2026

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