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POONAM SOI DMD LLC NPI 1174046684


NPI Information

NPI: 1174046684
Provider Name: POONAM SOI DMD LLC

Doing Business As: 376 DENTAL STUDIO

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
376 MOODY ST
WALTHAM, MA
ZIP 02453
Phone: (206) 949-7622
Get Directions

POONAM SOI DMD LLC is a general practice dentist in Waltham, 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. POONAM SOI DMD LLC NPI is 1174046684. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As 376 Dental Studio.

The provider's business location address is:

376 MOODY ST
WALTHAM, MA
ZIP 02453-204
Phone: (206) 949-7622

The provider's authorized official is Poonam Soi .
The authorized official title is Owner/general Dentist and has the following contact phone number (206) 949-7622.

The enumeration date for this NPI number is 7/18/2017 and was last updated on 7/18/2017.


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 PracticeDN1856498MASSACHUSETTSYes

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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