WELLESLEY ENDODONTICS PC NPI 1275819211

NPI Information

NPI: 1275819211
Provider Name: WELLESLEY ENDODONTICS PC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
40 GROVE ST
SUITE 420
WELLESLEY, MA
ZIP 02482
Phone: (781) 237-1801
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WELLESLEY ENDODONTICS PC is a dental clinic center in Wellesley, MA. WELLESLEY ENDODONTICS PC NPI is 1275819211. The provider is registered as an organization entity type.

The provider's business location address is:

40 GROVE ST
SUITE 420
WELLESLEY, MA
ZIP 02482-702
Phone: (781) 237-1801

The provider's authorized official is Maryam Shomali .
The authorized official title is President and has the following contact phone number (781) 237-1801.

The enumeration date for this NPI number is 10/21/2011 and was last updated on 10/21/2011.

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	17718	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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