NAS DENTAL LLC NPI 1336064369

NPI Information

  • NPI: 1336064369
  • Provider Name: NAS DENTAL LLC
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 379A CENTRE ST
    BOSTON, MA
    ZIP 02130
  • Phone: (585) 831-2456

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NPI Details

NAS DENTAL LLC is a dental clinic center in Boston, MA. NAS DENTAL LLC NPI is 1336064369. The provider is registered as an organization entity type.

The provider's business location address is:

379A CENTRE ST
BOSTON, MA
ZIP 02130-241
Phone: (585) 831-2456

The provider's authorized official is Nuba Afzal Siddiqi .
The authorized official title is General Dentist and has the following contact phone number (585) 831-2456.

The enumeration date for this NPI number is 8/11/2026 and was last updated on 8/11/2026.

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
1261QD0000XClinic/CenterDentalYes

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: 11/21/2025

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