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MARIA C EVANGELISTI DMD PC NPI 1487976791


NPI Information

NPI: 1487976791
Provider Name: MARIA C EVANGELISTI, DMD, PC
Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
1 WALLIS CT
SUITE 1
LEXINGTON, MA
ZIP 02421
Phone: (339) 970-2014
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MARIA C EVANGELISTI, DMD, PC is a pediatric dentistry dentist in Lexington, MA. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. MARIA C EVANGELISTI, DMD, PC NPI is 1487976791. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1 WALLIS CT
SUITE 1
LEXINGTON, MA
ZIP 02421-416
Phone: (339) 970-2014
Fax: (781) 634-0464

The provider's authorized official is Maria C Evangelisti .
The authorized official title is President and has the following contact phone number (339) 970-2014.

The enumeration date for this NPI number is 3/1/2010 and was last updated on 3/1/2010.


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
11223P0221XDentistPediatric Dentistry21021MASSACHUSETTSYes

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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