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CHARLES RIVER DENTAL ASSOCIATES PC NPI 1366695991


NPI Information

NPI: 1366695991
Provider Name: CHARLES RIVER DENTAL ASSOCIATES, PC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
50 STANIFORD ST
SUITE 303
BOSTON, MA
ZIP 02114
Phone: (617) 523-4555
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CHARLES RIVER DENTAL ASSOCIATES, PC is a general practice dentist in Boston, MA. The provider is 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. CHARLES RIVER DENTAL ASSOCIATES, PC NPI is 1366695991. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

50 STANIFORD ST
SUITE 303
BOSTON, MA
ZIP 02114-517
Phone: (617) 523-4555
Fax: (617) 227-2767

The provider's authorized official is Terese R. Peters .
The authorized official title is Practice Manager and has the following contact phone number (617) 523-4555.

The enumeration date for this NPI number is 10/28/2008 and was last updated on 10/28/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice19464MASSACHUSETTSYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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