EAST END DENTAL WELLNESS PC NPI 1154723443

NPI Information

NPI: 1154723443
Provider Name: EAST END DENTAL WELLNESS PC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
165 BELMONT ST STE A
SOUTH EASTON, MA
ZIP 02375
Phone: (508) 230-0048
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EAST END DENTAL WELLNESS PC is a dental clinic center in South Easton, MA. EAST END DENTAL WELLNESS PC NPI is 1154723443. The provider is registered as an organization entity type.

The provider's business location address is:

165 BELMONT ST STE A
SOUTH EASTON, MA
ZIP 02375-952
Phone: (508) 230-0048

The provider's authorized official is Yoon Jae Kim .
The authorized official title is President and has the following contact phone number (617) 955-9887.

The enumeration date for this NPI number is 9/18/2014 and was last updated on 8/29/2022.

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
1	261QD0000X	Clinic/Center	Dental	DN1855295	MASSACHUSETTS	Yes

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

NPI Synchronization or Removal

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