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NOPSARAN CHAIMATTAYOMPOL DMD PC NPI 1033294368


NPI Information

NPI: 1033294368
Provider Name: NOPSARAN CHAIMATTAYOMPOL, DMD, PC

Doing Business As: CROWN DENTAL GROUP

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
500 CONGRESS ST
SUITE#3E
QUINCY, MA
ZIP 02169
Phone: (617) 328-0693
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NOPSARAN CHAIMATTAYOMPOL, DMD, PC is a general practice dentist in Quincy, 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. NOPSARAN CHAIMATTAYOMPOL, DMD, PC NPI is 1033294368. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Crown Dental Group.

The provider's business location address is:

500 CONGRESS ST
SUITE#3E
QUINCY, MA
ZIP 02169-908
Phone: (617) 328-0693
Fax: (617) 328-0694

The provider's authorized official is Nopsaran Chaimattayompol .
The authorized official title is Director and has the following contact phone number (617) 328-0693.

The enumeration date for this NPI number is 10/26/2006 and was last updated on 8/22/2020.


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 Practice19821MASSACHUSETTSYes
21223G0001XDentistGeneral Practice11693MASSACHUSETTSX
31223P0700XDentistProsthodontics20789MASSACHUSETTSX

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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