MY DENTAL EAST BOSTON NPI 1780192393

NPI Information

NPI: 1780192393
Provider Name: MY DENTAL EAST BOSTON
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
151 MERIDIAN ST
EAST BOSTON, MA
ZIP 02128
Phone: (740) 215-8549
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MY DENTAL EAST BOSTON is a dental clinic center in East Boston, MA. MY DENTAL EAST BOSTON NPI is 1780192393. The provider is registered as an organization entity type.

The provider's business location address is:

151 MERIDIAN ST
EAST BOSTON, MA
ZIP 02128-675
Phone: (740) 215-8549

The provider's authorized official is Srinivas Desaneedi .
The authorized official title is Treasure and has the following contact phone number (740) 215-8549.

The enumeration date for this NPI number is 1/17/2018 and was last updated on 1/17/2018.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental			Yes

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

NPI Synchronization or Removal

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