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Dr. Evelyn A Pennacchio, DMD
General Practice Dentistry in Revere, Massachusetts
NPI 1083721690

Evelyn A Pennacchio is a General Practice Dentistry based in Revere, MA and is specialized in General Practice. Evelyn A Pennacchio practices in Revere, MA and has the professional credentials of DMD. The NPI Number for Evelyn A Pennacchio is 1083721690 and holds a License No. 16540 (Massachusetts).

The current practice location address for Evelyn A Pennacchio is 16 Pleasant St, Revere, MA and can be reached out via phone at 781-286-2800 and via fax at 781-289-5959.

Location: 16 Pleasant St, Revere, MA, 02151
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083721690
Provider Name
Evelyn A Pennacchio
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
16 Pleasant St, Revere, MA, 02151
Phone Number
781-286-2800
Fax Number
781-289-5959
Provider Enumeration Date
08/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
X05936 01 MA BCBS
institution
Provider Business Practice Location Address Details
Address
16 Pleasant St
City
Revere
State
Massachusetts
Zip
02151
Phone Number
781-286-2800
Fax Number
781-289-5959
person
Provider Business Mailing Address Details
Address
16 Pleasant St
City
Revere
State
Massachusetts
Zip
02151
Phone Number
781-286-2800
Fax Number
781-289-5959
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
16540 (Massachusetts)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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