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Kayla Beth Vasconcellos, DMD
General Practice Dentistry in Milton, Massachusetts
NPI 1104452044

Kayla Beth Vasconcellos is a General Practice Dentistry based in Medford, MA and is specialized in General Practice. Kayla Beth Vasconcellos practices in Milton, MA and has the professional credentials of DMD. The NPI Number for Kayla Beth Vasconcellos is 1104452044 and holds a License No. (Massachusetts).

The current practice location address for Kayla Beth Vasconcellos is 480 Adams St Ste 206, Milton, MA and can be reached out via phone at 617-696-5257.

Location: 480 Adams St Ste 206, Milton, MA, 02155-5198
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104452044
Provider Name
Kayla Beth Vasconcellos
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
480 Adams St Ste 206, Milton, MA, 02155-5198
Phone Number
617-696-5257
Fax Number
Provider Enumeration Date
03/22/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
480 Adams St Ste 206
City
Milton
State
Massachusetts
Zip
02186-4914
Phone Number
617-696-5257
Fax Number
person
Provider Business Mailing Address Details
Address
480 Adams St Ste 206
City
Milton
State
Massachusetts
Zip
02186-4914
Phone Number
617-696-5257
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
DN1859036 (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.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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