Active NPIIndividual providerSole proprietor

Balkrishna R Gentyala, DMD

Dentist in Arlington, Massachusetts

NPI Number1073954657
Practice location
1064 Massachusetts Ave, Arlington, MA 02476
Fax
—
Last updated
September 12, 2018

Balkrishna Ramesh Gentyala is a Dentist based in Arlington, MA. Balkrishna Ramesh Gentyala practices in Arlington, MA and has the professional credentials of DMD. The NPI Number for Balkrishna Ramesh Gentyala is 1073954657 and holds a License No. DN1856347 (MA). The current practice location address for Balkrishna Ramesh Gentyala is 1064 Massachusetts Ave, Arlington, MA 02476 and can be reached out via phone at 781-646-4400.

Provider Profile Details

NPI Number
1073954657
Provider Name
Balkrishna Ramesh Gentyala
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
1064 Massachusetts Ave, Arlington, MA 02476
Phone Number
781-646-4400
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
Yes
Other Names
-- Balkrishna Ramesh Gantyala (Former Name)
Provider Enumeration Date
July 11, 2013
Last Update Date
September 12, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
1064 Massachusetts Ave
Arlington, MA 02476
Zip
02476
Phone Number
781-646-4400
Arlington, MA 02476Get directions →

Provider Business Mailing Address Details

Address
1064 Massachusetts Ave
Arlington, MA 02476-4311
City
Arlington
State
MA
Zip
02476-4311
Phone Number
781-646-4400

License Information

License Number (1)
DN1856347
License State (1)
MA
Taxonomy (1)
Dentist, General Practice · 1223G0001X
License Number (2)
DN1856347
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 Balkrishna R Gentyala, DMD?

The NPI number of Balkrishna R Gentyala, DMD is 1073954657. It was assigned on July 11, 2013 and is currently active in the NPPES registry.

What is the specialty of Balkrishna R Gentyala, DMD?

Balkrishna R Gentyala, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in MA under license number DN1856347.

Where does Balkrishna R Gentyala, DMD practice?

The practice location is 1064 Massachusetts Ave, Arlington, MA 02476. The office can be reached at 781-646-4400 (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 1073954657 directly on the NPPES registry website.

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