CLEAN AND SEAL DENTAL PROGRAM NPI 1821601170

NPI Information

NPI: 1821601170
Provider Name: CLEAN AND SEAL DENTAL PROGRAM
Classification: Public Health or Welfare - 251K00000X
Entity Type: Organization
Address:
172 ASHMONT ST
DORCHESTER, MA
ZIP 02124
Phone: (774) 321-4720
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CLEAN AND SEAL DENTAL PROGRAM is a public health or welfare in Dorchester, MA. CLEAN AND SEAL DENTAL PROGRAM NPI is 1821601170. The provider is registered as an organization entity type.

The provider's business location address is:

172 ASHMONT ST
DORCHESTER, MA
ZIP 02124-745
Phone: (774) 321-4720

The provider's authorized official is Faith Brooks .
The authorized official title is Public Health Dental Hygienist and has the following contact phone number (774) 321-4720.

The enumeration date for this NPI number is 8/26/2020 and was last updated on 8/26/2020.

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	251K00000X	Public Health or Welfare				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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