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LILIANA E. DIFABIO DMD PC NPI 1508055245


NPI Information

NPI: 1508055245
Provider Name: LILIANA E. DIFABIO, DMD, PC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
56 BENNINGTON ST
EAST BOSTON, MA
ZIP 02128
Phone: (617) 567-2949
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LILIANA E. DIFABIO, DMD, PC is a dental clinic center in East Boston, MA. LILIANA E. DIFABIO, DMD, PC NPI is 1508055245. The provider is registered as an organization entity type.

The provider's business location address is:

56 BENNINGTON ST
EAST BOSTON, MA
ZIP 02128-704
Phone: (617) 567-2949

The provider's authorized official is Liliana Esther Difabio .
The authorized official title is Director and has the following contact phone number (617) 569-0021.

The enumeration date for this NPI number is 10/18/2007 and was last updated on 10/18/2007.


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
1261QD0000XClinic/CenterDental17685MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10273198MEDICAIDMASSACHUSETTS

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: 11/14/2023

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