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MY DENTAL COLUMBI A PC NPI 1215430152


NPI Information

NPI: 1215430152
Provider Name: MY DENTAL COLUMBI A PC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
653 COLUMBIA RD
DORCHESTER, MA
ZIP 02125
Phone: (740) 215-8549
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MY DENTAL COLUMBI A PC 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. MY DENTAL COLUMBI A PC NPI is 1215430152. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

653 COLUMBIA RD
DORCHESTER, MA
ZIP 02125-712
Phone: (740) 215-8549

The provider's authorized official is Srinivas Desaneedi .
The authorized official title is Dentist and has the following contact phone number (740) 215-8549.

The enumeration date for this NPI number is 3/16/2018 and was last updated on 3/16/2018.


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 PracticeDN22184MASSACHUSETTSYes

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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