Active NPIOrganization

Davis Square Dental Specialists

Dentist in Dorchester, Massachusetts

NPI Number1013258359
Practice location
1792 Dorchester Ave, Dorchester, MA 02124-2533
Fax
—
Last updated
March 12, 2013

Davis Square Dental Specialists is a healthcare organization based in Dorchester, MA. Davis Square Dental Specialists practices in Dorchester, MA. The NPI Number for Davis Square Dental Specialists is 1013258359 and holds a License No. 20416 (MA). The current practice location address for Davis Square Dental Specialists is 1792 Dorchester Ave, Dorchester, MA 02124-2533 and can be reached out via phone at 617-265-8338.

Provider Profile Details

NPI Number
1013258359
Provider Name
Davis Square Dental Specialists
Provider Entity Type
Organization
Address
1792 Dorchester Ave, Dorchester, MA 02124-2533
Phone Number
617-265-8338
Primary Taxonomy
Dentist · 122300000X
Organization Subpart
No
Authorized Official
Dr. Mouhab Z Rizkallah · Owner · 617-764-2247
Provider Enumeration Date
March 12, 2013
Last Update Date
March 12, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
1792 Dorchester Ave
Dorchester, MA 02124-2533
Zip
02124-2533
Phone Number
617-265-8338
Dorchester, MA 02124Get directions →

Provider Business Mailing Address Details

Address
30 College Ave
Somerville, MA 02144-1914
City
Somerville
State
MA
Zip
02144-1914

License Information

License Number
20416
License State
MA
Taxonomy
Dentist · 122300000X · 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 Davis Square Dental Specialists?

The NPI number of Davis Square Dental Specialists is 1013258359. It was assigned on March 12, 2013 and is currently active in the NPPES registry.

What is the specialty of Davis Square Dental Specialists?

Davis Square Dental Specialists is registered under the primary taxonomy Dentist (code 122300000X), licensed in MA under license number 20416.

Where does Davis Square Dental Specialists practice?

The practice location is 1792 Dorchester Ave, Dorchester, MA 02124-2533. The office can be reached at 617-265-8338 (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 1013258359 directly on the NPPES registry website.

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