- Practice location
- 158 Everett Ave, Unit 5, Chelsea, MA 02150-1813
- Phone
- 617-884-6800
- Fax
- —
- Last updated
- July 31, 2013
Mystic Dental Studio PC is a healthcare organization based in Chelsea, MA. Mystic Dental Studio PC practices in Chelsea, MA. The NPI Number for Mystic Dental Studio PC is 1083046114 and holds a License No. 20625 (MA). The current practice location address for Mystic Dental Studio PC is 158 Everett Ave, Unit 5, Chelsea, MA 02150-1813 and can be reached out via phone at 617-884-6800.
Provider Profile Details
- NPI Number
- 1083046114
- Provider Name
- Mystic Dental Studio PC
- Provider Entity Type
- Organization
- Address
- 158 Everett Ave, Unit 5, Chelsea, MA 02150-1813
- Phone Number
- 617-884-6800
- Primary Taxonomy
- Dentist · 122300000X
- Organization Subpart
- No
- Authorized Official
- Aida Padron, DMD · Owner · 617-884-6800
- Provider Enumeration Date
- July 31, 2013
- Last Update Date
- July 31, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 158 Everett Ave
Unit 5
Chelsea, MA 02150-1813 - City
- Chelsea
- State
- Massachusetts
- Zip
- 02150-1813
- Phone Number
- 617-884-6800
Provider Business Mailing Address Details
- Address
- 158 Everett Ave
Unit 5
Chelsea, MA 02150-1813 - City
- Chelsea
- State
- MA
- Zip
- 02150-1813
- Phone Number
- 617-884-6800
License Information
- License Number
- 20625
- License State
- MA
- Taxonomy
- Dentist · 122300000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentists near Chelsea, MA
View all Dentists in Chelsea →Frequently Asked Questions
What is the NPI number of Mystic Dental Studio PC?
The NPI number of Mystic Dental Studio PC is 1083046114. It was assigned on July 31, 2013 and is currently active in the NPPES registry.
What is the specialty of Mystic Dental Studio PC?
Mystic Dental Studio PC is registered under the primary taxonomy Dentist (code 122300000X), licensed in MA under license number 20625.
Where does Mystic Dental Studio PC practice?
The practice location is 158 Everett Ave, Unit 5, Chelsea, MA 02150-1813. The office can be reached at 617-884-6800 (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 1083046114 directly on the NPPES registry website.