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BRIGHTON DENTAL GROUP LLC NPI 1013153048


NPI Information

NPI: 1013153048
Provider Name: BRIGHTON DENTAL GROUP LLC
Classification: Dentist - 1223P0700X
Entity Type: Organization

Specialization: Prosthodontics

Address:
1607 COMMONWEALTH AVE
SUITE #3
BRIGHTON, MA
ZIP 02135
Phone: (617) 782-5455
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BRIGHTON DENTAL GROUP LLC is a prosthodontics dentist in Brighton, MA. The provider is that branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. BRIGHTON DENTAL GROUP LLC NPI is 1013153048. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1607 COMMONWEALTH AVE
SUITE #3
BRIGHTON, MA
ZIP 02135-214
Phone: (617) 782-5455
Fax: (617) 782-5452

The provider's authorized official is Nopsaran Chaimattayompol .
The authorized official title is Director and has the following contact phone number (617) 782-5455.

The enumeration date for this NPI number is 12/22/2008 and was last updated on 12/22/2008.


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
11223P0700XDentistProsthodontics20789MASSACHUSETTSYes

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: 11/14/2023

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