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SOMERVILLE FAMILY DENTAL PC NPI 1700335478


NPI Information

NPI: 1700335478
Provider Name: SOMERVILLE FAMILY DENTAL, PC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
23 BOW ST
1
SOMERVILLE, MA
ZIP 02143
Phone: (908) 698-3206
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SOMERVILLE FAMILY DENTAL, PC is a general practice dentist in Somerville, 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. SOMERVILLE FAMILY DENTAL, PC NPI is 1700335478. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

23 BOW ST
1
SOMERVILLE, MA
ZIP 02143-933
Phone: (908) 698-3206

The provider's authorized official is Nikhilesh Gorukanti .
The authorized official title is General Dentist and has the following contact phone number (908) 698-3206.

The enumeration date for this NPI number is 9/22/2016 and was last updated on 9/22/2016.


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
11223G0001XDentistGeneral PracticeDN1856869MASSACHUSETTSYes

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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