PEABODY SMILE DESIGN FAMILY DENTISTRY PLLC – NPI #1487599346
Clinic/Center

PEABODY SMILE DESIGN FAMILY DENTISTRY PLLC is an AHC clinic located in PEABODY, MA. NPPES recently assigned the NPI number 1487599346 to PEABODY SMILE DESIGN FAMILY DENTISTRY PLLC on April 20, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PEABODY SMILE DESIGN FAMILY DENTISTRY PLLC below.

NPI Profile for
PEABODY SMILE DESIGN FAMILY DENTISTRY PLLC

NPI Number
1487599346
Enumeration Date

(about 7 weeks ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PEABODY SMILE DESIGN FAMILY DENTISTRY PLLC
Primary location
124 NEWBURY ST
PEABODY, MA 01960-4066
Phone: (754) 234-6971 Fax: (781) 995-0565
Mailing address
576 MAIN ST
WOBURN, MA 01801-7130
Phone: (754) 234-6971 Fax: (781) 995-0565
Organization Subpart
No
Authorized Official
SHADI ELMEKKAWI
OWNER
Phone: (754) 234-6971
Updated
Certification Date
Apr 20, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.