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DENTAL RESTORATIVE GROUP PC NPI 1396112637


NPI Information

NPI: 1396112637
Provider Name: DENTAL RESTORATIVE GROUP PC

Doing Business As: DENTAL RESTORATIVE GROUP @ CAMBRIDGE

Classification: Dentist - 1223P0700X
Entity Type: Organization

Specialization: Prosthodontics

Address:
2335 MASSACHUSETTS AVE
CAMBRIDGE, MA
ZIP 02140
Phone: (617) 492-5081
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DENTAL RESTORATIVE GROUP PC is a prosthodontics dentist in Cambridge, MA. The provider is that branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. DENTAL RESTORATIVE GROUP PC NPI is 1396112637. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Dental Restorative Group @ Cambridge.

The provider's business location address is:

2335 MASSACHUSETTS AVE
CAMBRIDGE, MA
ZIP 02140-228
Phone: (617) 492-5081

The provider's authorized official is John H Chang .
The authorized official title is President and has the following contact phone number (617) 489-1470.

The enumeration date for this NPI number is 8/21/2015 and was last updated on 8/21/2015.


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
11223E0200XDentistEndodonticsNo
21223P0300XDentistPeriodonticsNo
31223S0112XDentistOral and Maxillofacial SurgeryNo
41223P0700XDentistProsthodonticsYes

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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