Active NPIOrganization

Phuongdao DMD LLC

Dentist, General Practice in Everett, Massachusetts

NPI Number1003176512
Practice location
910 Broadway Fl 1, Everett, MA 02149-3126
Fax
—
Last updated
May 18, 2012

Phuongdao DMD LLC is a healthcare organization based in Everett, MA. Phuongdao DMD LLC practices in Everett, MA. The NPI Number for Phuongdao DMD LLC is 1003176512 and holds a License No. 17573 (MA). The current practice location address for Phuongdao DMD LLC is 910 Broadway Fl 1, Everett, MA 02149-3126 and can be reached out via phone at 617-389-8317.

Provider Profile Details

NPI Number
1003176512
Provider Name
Phuongdao DMD LLC
Provider Entity Type
Organization
Address
910 Broadway Fl 1, Everett, MA 02149-3126
Phone Number
617-389-8317
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Organization Subpart
No
Authorized Official
Dr. Phuong Thi Dao, DMD · Owner · 617-389-8317
Provider Enumeration Date
May 18, 2012
Last Update Date
May 18, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
910 Broadway Fl 1
Everett, MA 02149-3126
Zip
02149-3126
Phone Number
617-389-8317
Everett, MA 02149Get directions →

Provider Business Mailing Address Details

Address
910 Broadway Fl 1
Everett, MA 02149-3126
City
Everett
State
MA
Zip
02149-3126
Phone Number
617-389-8317

License Information

License Number
17573
License State
MA
Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Phuongdao DMD LLC?

The NPI number of Phuongdao DMD LLC is 1003176512. It was assigned on May 18, 2012 and is currently active in the NPPES registry.

What is the specialty of Phuongdao DMD LLC?

Phuongdao DMD LLC is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number 17573.

Where does Phuongdao DMD LLC practice?

The practice location is 910 Broadway Fl 1, Everett, MA 02149-3126. The office can be reached at 617-389-8317 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003176512 directly on the NPPES registry website.

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