Active NPIIndividual provider

Kayla B Vasconcellos, DMD

Dentist, General Practice in Milton, Massachusetts

NPI Number1104452044
Practice location
480 Adams St Ste 206, Milton, MA 02186-4914
Fax
—
Last updated
July 22, 2021

Kayla Beth Vasconcellos is a Dentist, General Practice based in Milton, MA. 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. DN1859036 (MA). The current practice location address for Kayla Beth Vasconcellos is 480 Adams St Ste 206, Milton, MA 02186-4914 and can be reached out via phone at 617-696-5257.

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 02186-4914
Phone Number
617-696-5257
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Provider Enumeration Date
March 22, 2020
Last Update Date
July 22, 2021
Certification Date
July 22, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
480 Adams St Ste 206
Milton, MA 02186-4914
City
Milton
Zip
02186-4914
Phone Number
617-696-5257
Milton, MA 02186Get directions →

Provider Business Mailing Address Details

Address
100 Station Lndg Unit 1005
Medford, MA 02155-5198
City
Medford
State
MA
Zip
02155-5198
Phone Number
508-521-4576

License Information

License Number (2)
DN1859036
License State (2)
MA
Taxonomy (2)
Dentist, General Practice · 1223G0001X · 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 Kayla B Vasconcellos, DMD?

The NPI number of Kayla B Vasconcellos, DMD is 1104452044. It was assigned on March 22, 2020 and is currently active in the NPPES registry.

What is the specialty of Kayla B Vasconcellos, DMD?

Kayla B Vasconcellos, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number DN1859036.

Where does Kayla B Vasconcellos, DMD practice?

The practice location is 480 Adams St Ste 206, Milton, MA 02186-4914. The office can be reached at 617-696-5257 (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 1104452044 directly on the NPPES registry website.

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