Revere Dental And Orthodontics PC
Dentist, General Practice in Revere, Massachusetts
1053180208- Practice location
- 123 Revere St, Revere, MA 02151-4439
- Phone
- 617-275-6306
- Fax
- —
- Last updated
- December 29, 2023
Revere Dental And Orthodontics PC is a healthcare organization based in Revere, MA. Revere Dental And Orthodontics PC practices in Revere, MA. The NPI Number for Revere Dental And Orthodontics PC is 1053180208. The current practice location address for Revere Dental And Orthodontics PC is 123 Revere St, Revere, MA 02151-4439 and can be reached out via phone at 617-275-6306.
Provider Profile Details
- NPI Number
- 1053180208
- Provider Name
- Revere Dental And Orthodontics PC
- Provider Entity Type
- Organization
- Address
- 123 Revere St, Revere, MA 02151-4439
- Phone Number
- 617-275-6306
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Organization Subpart
- No
- Authorized Official
- Dr. Neetu Bansal, DMD · Owner · 617-275-6306
- Provider Enumeration Date
- December 29, 2023
- Last Update Date
- December 29, 2023
- Certification Date
- December 29, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 123 Revere St
Revere, MA 02151-4439 - City
- Revere
- State
- Massachusetts
- Zip
- 02151-4439
- Phone Number
- 617-275-6306
Provider Business Mailing Address Details
- Address
- 8 Brighton St Apt 3
Charlestown, MA 02129-1260 - City
- Charlestown
- State
- MA
- Zip
- 02129-1260
- Phone Number
- 617-275-6306
- Fax Number
- 617-997-0030
License Information
- Taxonomy (1)
- Dentist · 122300000X
- Taxonomy (2)
- Dentist, Orthodontics and Dentofacial Orthopedics · 1223X0400X
- Taxonomy (3)
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Revere Dental And Orthodontics PC?
The NPI number of Revere Dental And Orthodontics PC is 1053180208. It was assigned on December 29, 2023 and is currently active in the NPPES registry.
What is the specialty of Revere Dental And Orthodontics PC?
Revere Dental And Orthodontics PC is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X).
Where does Revere Dental And Orthodontics PC practice?
The practice location is 123 Revere St, Revere, MA 02151-4439. The office can be reached at 617-275-6306 (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 1053180208 directly on the NPPES registry website.