Larissa Heidemann Paganini, DMD
Dentist, General Practice in East Boston, Massachusetts
1104443936- Practice location
- 20 Maverick Sq, East Boston, MA 02128-2335
- Phone
- 617-569-5800
- Fax
- 617-568-4090
- Last updated
- March 18, 2026
Larissa Heidemann Paganini is a Dentist, General Practice based in East Boston, MA. Larissa Heidemann Paganini practices in East Boston, MA and has the professional credentials of DMD. The NPI Number for Larissa Heidemann Paganini is 1104443936 and holds a License No. DN1858710 (MA). The current practice location address for Larissa Heidemann Paganini is 20 Maverick Sq, East Boston, MA 02128-2335 and can be reached out via phone at 617-569-5800 and via fax at 617-568-4090.
Provider Profile Details
- NPI Number
- 1104443936
- Provider Name
- Larissa Heidemann Paganini
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 20 Maverick Sq, East Boston, MA 02128-2335
- Phone Number
- 617-569-5800
- Fax Number
- 617-568-4090
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 27, 2020
- Last Update Date
- March 18, 2026
- Certification Date
- March 18, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 20 Maverick Sq
East Boston, MA 02128-2335 - City
- East Boston
- State
- Massachusetts
- Zip
- 02128-2335
- Phone Number
- 617-569-5800
- Fax Number
- 617-568-4090
Provider Business Mailing Address Details
- Address
- 10 Gove St
East Boston, MA 02128-1920 - City
- East Boston
- State
- MA
- Zip
- 02128-1920
- Phone Number
- 617-568-4782
- Fax Number
- 617-568-4756
License Information
- License Number
- DN1858710
- 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 Larissa Heidemann Paganini, DMD?
The NPI number of Larissa Heidemann Paganini, DMD is 1104443936. It was assigned on June 27, 2020 and is currently active in the NPPES registry.
What is the specialty of Larissa Heidemann Paganini, DMD?
Larissa Heidemann Paganini, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number DN1858710.
Where does Larissa Heidemann Paganini, DMD practice?
The practice location is 20 Maverick Sq, East Boston, MA 02128-2335. The office can be reached at 617-569-5800 (phone) or 617-568-4090 (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 1104443936 directly on the NPPES registry website.