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WALTHAM FAMILY DENTAL NPI 1548617814


NPI Information

NPI: 1548617814
Provider Name: WALTHAM FAMILY DENTAL
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

CLIA Number: 22D0941930

Address:
30 GRANT ST
WALTHAM, MA
ZIP 02453
Phone: (781) 894-1634
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WALTHAM FAMILY DENTAL is a general practice dentist in Waltham, 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. WALTHAM FAMILY DENTAL NPI is 1548617814. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

30 GRANT ST
WALTHAM, MA
ZIP 02453-202
Phone: (781) 894-1634

The provider's authorized official is Vik Kapoor .
The authorized official title is Manager and has the following contact phone number (617) 953-5221.

The CLIA number assigned to this NPI record is 22D0941930 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/17/2016 and was last updated on 5/17/2016.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeDN20802MASSACHUSETTSYes

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: 5/5/2024

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