Dr. Brandon S Beaudoin, DMD
Dentist in Cambridge, Massachusetts
1093079816- Practice location
- 119 Windsor St, Cambridge, MA 02139-3647
- Phone
- 617-665-3990
- Fax
- —
- Last updated
- June 26, 2012
Brandon S Beaudoin is a Dentist based in Cambridge, MA. Brandon S Beaudoin practices in Cambridge, MA and has the professional credentials of DMD. The NPI Number for Brandon S Beaudoin is 1093079816 and holds a License No. DL11582 (MA). The current practice location address for Brandon S Beaudoin is 119 Windsor St, Cambridge, MA 02139-3647 and can be reached out via phone at 617-665-3990.
Provider Profile Details
- NPI Number
- 1093079816
- Provider Name
- Brandon S Beaudoin
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 119 Windsor St, Cambridge, MA 02139-3647
- Phone Number
- 617-665-3990
- Primary Taxonomy
- Dentist · 122300000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 26, 2012
- Last Update Date
- June 26, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 119 Windsor St
Cambridge, MA 02139-3647 - City
- Cambridge
- State
- Massachusetts
- Zip
- 02139-3647
- Phone Number
- 617-665-3990
Provider Business Mailing Address Details
- Address
- 170 Brookline Ave
Boston, MA 02215-3937 - City
- Boston
- State
- MA
- Zip
- 02215-3937
- Phone Number
- 978-270-1848
License Information
- License Number
- DL11582
- 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 Cambridge, MA
View all Dentists in Cambridge →Frequently Asked Questions
What is the NPI number of Dr. Brandon S Beaudoin, DMD?
The NPI number of Dr. Brandon S Beaudoin, DMD is 1093079816. It was assigned on June 26, 2012 and is currently active in the NPPES registry.
What is the specialty of Dr. Brandon S Beaudoin, DMD?
Dr. Brandon S Beaudoin, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in MA under license number DL11582.
Where does Dr. Brandon S Beaudoin, DMD practice?
The practice location is 119 Windsor St, Cambridge, MA 02139-3647. The office can be reached at 617-665-3990 (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 1093079816 directly on the NPPES registry website.