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MALDEN FAMILY DENTAL PC NPI 1841462017


NPI Information

NPI: 1841462017
Provider Name: MALDEN FAMILY DENTAL PC
Classification: Dentist - 122300000X
Entity Type: Organization

CLIA Number: 22D1062580

Address:
7 PLEASANT ST
MALDEN, MA
ZIP 02148
Phone: (781) 388-0900
Get Directions

MALDEN FAMILY DENTAL PC is a dentist in Malden, MA. The provider is a dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. MALDEN FAMILY DENTAL PC NPI is 1841462017. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7 PLEASANT ST
MALDEN, MA
ZIP 02148-106
Phone: (781) 388-0900
Fax: (781) 388-0910

The provider's authorized official is Alex Faigel .
The authorized official title is Manager and has the following contact phone number (617) 823-2111.

The CLIA number assigned to this NPI record is 22D1062580 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/28/2008 and was last updated on 3/28/2008.


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
1122300000XDentist20485MASSACHUSETTSYes

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
10203980MEDICAIDMASSACHUSETTS

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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