Provider Type Icon

METROPOLITAN DENTAL CENTER NPI 1154564490


NPI Information

NPI: 1154564490
Provider Name: METROPOLITAN DENTAL CENTER
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1417 DORCHESTER AVE
DORCHESTER, MA
ZIP 02122
Phone: (617) 929-0600
Get Directions

METROPOLITAN DENTAL CENTER is a general practice dentist in Dorchester, 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. METROPOLITAN DENTAL CENTER NPI is 1154564490. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1417 DORCHESTER AVE
DORCHESTER, MA
ZIP 02122-915
Phone: (617) 929-0600

The provider's authorized official is Christos Koumoutseas .
The authorized official title is Dentist/ Owner and has the following contact phone number (617) 929-0600.

The enumeration date for this NPI number is 4/16/2009 and was last updated on 4/16/2009.


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 Practice17622MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10277983MEDICAIDMASSACHUSETTS

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.