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TRUSTEES OF TUFTS UNIVERSITY NPI 1871719104


NPI Information

NPI: 1871719104
Provider Name: TRUSTEES OF TUFTS UNIVERSITY

Other Name: TUFTS DENTAL FACILITY FERNALD

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
200 TRAPELO RD
WALTHAM, MA
ZIP 02452
Phone: (781) 899-6020
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TRUSTEES OF TUFTS UNIVERSITY is a dental clinic center in Waltham, MA. TRUSTEES OF TUFTS UNIVERSITY NPI is 1871719104. The provider is registered as an organization entity type.
The provider Other Name Is Tufts Dental Facility Fernald.

The provider's business location address is:

200 TRAPELO RD
WALTHAM, MA
ZIP 02452-332
Phone: (781) 899-6020
Fax: (781) 893-1829

The provider's authorized official is John Patrick Morgan .
The authorized official title is Administrative Director and has the following contact phone number (781) 899-6020.

The enumeration date for this NPI number is 4/17/2007 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QD0000XClinic/CenterDental20040MASSACHUSETTSYes

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
10272175OTHERMASSACHUSETTSMASSHEALTH PROVIDER NUMBE

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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