Active NPIIndividual provider

Carlos Isava, DDS

Dentist in Dorchester, Massachusetts

NPI Number1093791592
Practice location
250 Mount Vernon St, Dorchester, MA 02125-3120
Fax
617-288-3910
Last updated
January 10, 2011

Carlos Isava is a Dentist based in Dorchester, MA. Carlos Isava practices in Dorchester, MA and has the professional credentials of DDS. The NPI Number for Carlos Isava is 1093791592 and holds a License No. 10647 (MA). The current practice location address for Carlos Isava is 250 Mount Vernon St, Dorchester, MA 02125-3120 and can be reached out via phone at 617-788-1140 and via fax at 617-288-3910.

Provider Profile Details

NPI Number
1093791592
Provider Name
Carlos Isava
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
250 Mount Vernon St, Dorchester, MA 02125-3120
Phone Number
617-788-1140
Fax Number
617-288-3910
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
No
Provider Enumeration Date
December 16, 2005
Last Update Date
January 10, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
250 Mount Vernon St
Dorchester, MA 02125-3120
Zip
02125-3120
Phone Number
617-788-1140
Fax Number
617-288-3910
Dorchester, MA 02125Get directions →

Provider Business Mailing Address Details

Address
1135 Morton St
Mattapan, MA 02126-2834
City
Mattapan
State
MA
Zip
02126-2834
Phone Number
617-533-2300
Fax Number
617-533-2341

License Information

License Number
10647
License State
MA
Taxonomy
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 Carlos Isava, DDS?

The NPI number of Carlos Isava, DDS is 1093791592. It was assigned on December 16, 2005 and is currently active in the NPPES registry.

What is the specialty of Carlos Isava, DDS?

Carlos Isava, DDS is registered under the primary taxonomy Dentist (code 122300000X), licensed in MA under license number 10647.

Where does Carlos Isava, DDS practice?

The practice location is 250 Mount Vernon St, Dorchester, MA 02125-3120. The office can be reached at 617-788-1140 (phone) or 617-288-3910 (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 1093791592 directly on the NPPES registry website.

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