Active NPIOrganization

Smile Dental, PC

Dentist, General Practice in Revere, Massachusetts

NPI Number1053618140
Practice location
144 Broadway # 2, Revere, MA 02151-5349
Fax
781-426-7614
Last updated
October 12, 2022

Smile Dental, PC is a healthcare organization based in Revere, MA. Smile Dental, PC practices in Revere, MA. The NPI Number for Smile Dental, PC is 1053618140 and holds a License No. DN19044 (MA). The current practice location address for Smile Dental, PC is 144 Broadway # 2, Revere, MA 02151-5349 and can be reached out via phone at 781-284-2275 and via fax at 781-426-7614.

Provider Profile Details

NPI Number
1053618140
Provider Name
Smile Dental, PC
Provider Entity Type
Organization
Address
144 Broadway # 2, Revere, MA 02151-5349
Phone Number
781-284-2275
Fax Number
781-426-7614
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Organization Subpart
No
Authorized Official
Bella Ostrovsky · Manager · 781-284-2275
Other Names
Broadway Dental (Doing Business As)
Provider Enumeration Date
February 25, 2011
Last Update Date
October 12, 2022
Certification Date
October 12, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
144 Broadway # 2
Revere, MA 02151-5349
City
Revere
Zip
02151-5349
Phone Number
781-284-2275
Fax Number
781-426-7614
Revere, MA 02151Get directions →

Provider Business Mailing Address Details

Address
144 Broadway # 2
Revere, MA 02151-5349
City
Revere
State
MA
Zip
02151-5349
Phone Number
781-284-2275
Fax Number
781-426-7614

License Information

License Number
DN19044
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 Smile Dental, PC?

The NPI number of Smile Dental, PC is 1053618140. It was assigned on February 25, 2011 and is currently active in the NPPES registry.

What is the specialty of Smile Dental, PC?

Smile Dental, PC is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number DN19044.

Where does Smile Dental, PC practice?

The practice location is 144 Broadway # 2, Revere, MA 02151-5349. The office can be reached at 781-284-2275 (phone) or 781-426-7614 (fax).

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 1053618140 directly on the NPPES registry website.

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