Active NPIIndividual provider

Dr. Stefanie S Moreno, DMD

Dentist, General Practice in Dedham, Massachusetts

NPI Number1063080364
Practice location
162 Providence Hwy, Dedham, MA 02026-1809
Fax
—
Last updated
July 27, 2021

Stefanie Sofia Moreno is a Dentist, General Practice based in Dedham, MA. Stefanie Sofia Moreno practices in Dedham, MA and has the professional credentials of DMD. The NPI Number for Stefanie Sofia Moreno is 1063080364 and holds a License No. DN1859111 (MA). The current practice location address for Stefanie Sofia Moreno is 162 Providence Hwy, Dedham, MA 02026-1809 and can be reached out via phone at 781-461-0666.

Provider Profile Details

NPI Number
1063080364
Provider Name
Stefanie Sofia Moreno
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
162 Providence Hwy, Dedham, MA 02026-1809
Phone Number
781-461-0666
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Provider Enumeration Date
June 14, 2021
Last Update Date
July 27, 2021
Certification Date
July 22, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
162 Providence Hwy
Dedham, MA 02026-1809
City
Dedham
Zip
02026-1809
Phone Number
781-461-0666
Dedham, MA 02026Get directions →

Provider Business Mailing Address Details

Address
34 Oak St
Weston, MA 02493-1444
City
Weston
State
MA
Zip
02493-1444
Phone Number
781-608-0597

License Information

License Number (2)
DN1859111
License State (2)
MA
Taxonomy (2)
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 Dr. Stefanie S Moreno, DMD?

The NPI number of Dr. Stefanie S Moreno, DMD is 1063080364. It was assigned on June 14, 2021 and is currently active in the NPPES registry.

What is the specialty of Dr. Stefanie S Moreno, DMD?

Dr. Stefanie S Moreno, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number DN1859111.

Where does Dr. Stefanie S Moreno, DMD practice?

The practice location is 162 Providence Hwy, Dedham, MA 02026-1809. The office can be reached at 781-461-0666 (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 1063080364 directly on the NPPES registry website.

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