Dr. Evelyn A Pennacchio, DMD
Dentist, General Practice in Revere, Massachusetts
1083721690- Practice location
- 16 Pleasant St, Revere, MA 02151
- Phone
- 781-286-2800
- Fax
- 781-289-5959
- Last updated
- July 8, 2007
Evelyn A Pennacchio is a Dentist, General Practice based in Revere, MA. 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 (MA). The current practice location address for Evelyn A Pennacchio is 16 Pleasant St, Revere, MA 02151 and can be reached out via phone at 781-286-2800 and via fax at 781-289-5959.
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
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 23, 2006
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 16 Pleasant St
Revere, MA 02151 - City
- Revere
- State
- Massachusetts
- Zip
- 02151
- Phone Number
- 781-286-2800
- Fax Number
- 781-289-5959
Provider Business Mailing Address Details
- Address
- 16 Pleasant St
Revere, MA 02151 - City
- Revere
- State
- MA
- Zip
- 02151
- Phone Number
- 781-286-2800
- Fax Number
- 781-289-5959
License Information
- License Number
- 16540
- License State
- MA
- Taxonomy
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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. Evelyn A Pennacchio, DMD?
The NPI number of Dr. Evelyn A Pennacchio, DMD is 1083721690. It was assigned on August 23, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Evelyn A Pennacchio, DMD?
Dr. Evelyn A Pennacchio, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number 16540.
Where does Dr. Evelyn A Pennacchio, DMD practice?
The practice location is 16 Pleasant St, Revere, MA 02151. The office can be reached at 781-286-2800 (phone) or 781-289-5959 (fax).
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 1083721690 directly on the NPPES registry website.