Active NPIOrganization

Canton Family Dental PLLC

Dentist in Canton, Massachusetts

NPI Number1043635642
Practice location
713 Washington St, Canton, MA 02021-3037
Fax
—
Last updated
August 2, 2016

Canton Family Dental PLLC is a healthcare organization based in Canton, MA. Canton Family Dental PLLC practices in Canton, MA. The NPI Number for Canton Family Dental PLLC is 1043635642 and holds a License No. 22167 (MA). The current practice location address for Canton Family Dental PLLC is 713 Washington St, Canton, MA 02021-3037 and can be reached out via phone at 781-575-6770.

Provider Profile Details

NPI Number
1043635642
Provider Name
Canton Family Dental PLLC
Provider Entity Type
Organization
Address
713 Washington St, Canton, MA 02021-3037
Phone Number
781-575-6770
Primary Taxonomy
Dentist · 122300000X
Organization Subpart
No
Authorized Official
Li Wang, DMD · Member · 781-575-6770
Other Names
Canton Family Dental (Doing Business As)
Provider Enumeration Date
February 19, 2014
Last Update Date
August 2, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
713 Washington St
Canton, MA 02021-3037
City
Canton
Zip
02021-3037
Phone Number
781-575-6770
Canton, MA 02021Get directions →

Provider Business Mailing Address Details

Address
713 Washington St
Canton, MA 02021-3037
City
Canton
State
MA
Zip
02021-3037
Phone Number
781-575-6770

License Information

License Number (1)
22167
License State (1)
MA
Taxonomy (1)
Dentist · 122300000X
License Number (2)
21577
License State (2)
MA
Taxonomy (2)
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 Canton Family Dental PLLC?

The NPI number of Canton Family Dental PLLC is 1043635642. It was assigned on February 19, 2014 and is currently active in the NPPES registry.

What is the specialty of Canton Family Dental PLLC?

Canton Family Dental PLLC is registered under the primary taxonomy Dentist (code 122300000X), licensed in MA under license number 22167.

Where does Canton Family Dental PLLC practice?

The practice location is 713 Washington St, Canton, MA 02021-3037. The office can be reached at 781-575-6770 (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 1043635642 directly on the NPPES registry website.

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