EXCEL DENTAL OF REVERE LLC NPI 1972353381

NPI Information

  • NPI: 1972353381
  • Provider Name: EXCEL DENTAL OF REVERE LLC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 100 SQUIRE RD
    REVERE, MA
    ZIP 02151
  • Phone: (781) 757-2488

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NPI Details

EXCEL DENTAL OF REVERE LLC is a general practice dentist in Revere, 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. EXCEL DENTAL OF REVERE LLC NPI is 1972353381. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

100 SQUIRE RD
REVERE, MA
ZIP 02151-302
Phone: (781) 757-2488
Fax: (781) 757-2466

The provider's authorized official is Samir B Patel .
The authorized official title is Managing Director and has the following contact phone number (781) 757-2488.

The enumeration date for this NPI number is 3/26/2024 and was last updated on 3/26/2024.

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
11223G0001XDentistGeneral PracticeYes

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: 3/30/2025

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