Provider Type Icon

MASSACHUSETTS INSTITUTE OF TECHNOLOGY NPI 1588133946


NPI Information

NPI: 1588133946
Provider Name: MASSACHUSETTS INSTITUTE OF TECHNOLOGY

Doing Business As: MIT DENTAL

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
25 CARLETON ST
CAMBRIDGE, MA
ZIP 02142
Phone: (617) 253-1501
Get Directions

MASSACHUSETTS INSTITUTE OF TECHNOLOGY is a general practice dentist in Cambridge, MA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. MASSACHUSETTS INSTITUTE OF TECHNOLOGY NPI is 1588133946. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Mit Dental.

The provider's business location address is:

25 CARLETON ST
CAMBRIDGE, MA
ZIP 02142-323
Phone: (617) 253-1501

The provider's authorized official is Brian Schuetz .
The authorized official title is Executive Director and has the following contact phone number (617) 258-6609.

The enumeration date for this NPI number is 11/15/2018 and was last updated on 11/17/2023.


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
11223P0300XDentistPeriodonticsNo
21223P0700XDentistProsthodonticsNo
31223G0001XDentistGeneral PracticeYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.