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MATTHEW L ZIZMOR DDS PC NPI 1508915752


NPI Information

NPI: 1508915752
Provider Name: MATTHEW L ZIZMOR DDS PC
Classification: Dentist - 1223P0700X
Entity Type: Organization

Specialization: Prosthodontics

Address:
1244 BOYLSTON STREET
SUITE 205
CHESTNUT HILL, MA
ZIP 02467
Phone: (617) 738-4788
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MATTHEW L ZIZMOR DDS PC is a prosthodontics dentist in Chestnut Hill, 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. MATTHEW L ZIZMOR DDS PC NPI is 1508915752. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1244 BOYLSTON STREET
SUITE 205
CHESTNUT HILL, MA
ZIP 02467
Phone: (617) 738-4788
Fax: (617) 735-0031

The provider's authorized official is Matthew L Zizmor .
The authorized official title is President and has the following contact phone number (617) 738-4788.

The enumeration date for this NPI number is 1/9/2007 and was last updated on 2/14/2008.


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
11223P0700XDentistProsthodontics13781MASSACHUSETTSYes

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
1544958OTHERMASSACHUSETTSUNITED CORNCORDIA

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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