Active NPIOrganization

Somerville Dentistry And Braces, P.c.

Dentist, General Practice in Somerville, Massachusetts

NPI Number1053893115
Practice location
5 Middlesex Ave Ste 305, Somerville, MA 02145-1110
Fax
—
Last updated
September 5, 2018

Somerville Dentistry And Braces, P.c. is a healthcare organization based in Somerville, MA. Somerville Dentistry And Braces, P.c. practices in Somerville, MA. The NPI Number for Somerville Dentistry And Braces, P.c. is 1053893115 and holds a License No. DN20209 (MA). The current practice location address for Somerville Dentistry And Braces, P.c. is 5 Middlesex Ave Ste 305, Somerville, MA 02145-1110 and can be reached out via phone at 508-872-3072.

Provider Profile Details

NPI Number
1053893115
Provider Name
Somerville Dentistry And Braces, P.c.
Provider Entity Type
Organization
Address
5 Middlesex Ave Ste 305, Somerville, MA 02145-1110
Phone Number
508-872-3072
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Organization Subpart
No
Authorized Official
Joanne Tavano · Cfo · 978-580-1524
Provider Enumeration Date
September 5, 2018
Last Update Date
September 5, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
5 Middlesex Ave Ste 305
Somerville, MA 02145-1110
Zip
02145-1110
Phone Number
508-872-3072
Somerville, MA 02145Get directions →

Provider Business Mailing Address Details

Address
5 Mount Royal Ave Ste 300
Marlborough, MA 01752-1900
City
Marlborough
State
MA
Zip
01752-1900
Phone Number
508-723-0725
Fax Number
508-872-0781

License Information

License Number
DN20209
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 Somerville Dentistry And Braces, P.c.?

The NPI number of Somerville Dentistry And Braces, P.c. is 1053893115. It was assigned on September 5, 2018 and is currently active in the NPPES registry.

What is the specialty of Somerville Dentistry And Braces, P.c.?

Somerville Dentistry And Braces, P.c. is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number DN20209.

Where does Somerville Dentistry And Braces, P.c. practice?

The practice location is 5 Middlesex Ave Ste 305, Somerville, MA 02145-1110. The office can be reached at 508-872-3072 (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 1053893115 directly on the NPPES registry website.

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