MILLENIUM DENTAL LLC NPI 1164757175

NPI Information

NPI: 1164757175
Provider Name: MILLENIUM DENTAL, LLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
177 TREMONT ST FL 6
BOSTON, MA
ZIP 02111
Phone: (617) 462-5662
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MILLENIUM DENTAL, LLC is a dental clinic center in Boston, MA. MILLENIUM DENTAL, LLC NPI is 1164757175. The provider is registered as an organization entity type.

The provider's business location address is:

177 TREMONT ST FL 6
BOSTON, MA
ZIP 02111-020
Phone: (617) 462-5662
Fax: (617) 532-0022

The provider's authorized official is Ernest M. Yazigi .
The authorized official title is Owner and has the following contact phone number (617) 426-5662.

The enumeration date for this NPI number is 10/8/2009 and was last updated on 10/8/2009.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	19887	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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