Active NPIIndividual provider

Dr. Paul W Ponichtera, DMD

Dentist, General Practice in Milton, Massachusetts

NPI Number1124163704
Practice location
25 High St, Milton, MA 02186-3426
Fax
—
Last updated
July 8, 2007

Paul Walter Ponichtera is a Dentist, General Practice based in Milton, MA. Paul Walter Ponichtera practices in Milton, MA and has the professional credentials of DMD. The NPI Number for Paul Walter Ponichtera is 1124163704 and holds a License No. 11595 (MA). The current practice location address for Paul Walter Ponichtera is 25 High St, Milton, MA 02186-3426 and can be reached out via phone at 617-696-4300.

Provider Profile Details

NPI Number
1124163704
Provider Name
Paul Walter Ponichtera
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
25 High St, Milton, MA 02186-3426
Phone Number
617-696-4300
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Provider Enumeration Date
February 21, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
25 High St
Milton, MA 02186-3426
City
Milton
Zip
02186-3426
Phone Number
617-696-4300
Milton, MA 02186Get directions →

Provider Business Mailing Address Details

Address
Box 870061
Milton, MA 02187-0061
City
Milton
State
MA
Zip
02187-0061
Phone Number
617-696-4300

License Information

License Number
11595
License State
MA
Taxonomy
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 Dr. Paul W Ponichtera, DMD?

The NPI number of Dr. Paul W Ponichtera, DMD is 1124163704. It was assigned on February 21, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Paul W Ponichtera, DMD?

Dr. Paul W Ponichtera, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number 11595.

Where does Dr. Paul W Ponichtera, DMD practice?

The practice location is 25 High St, Milton, MA 02186-3426. The office can be reached at 617-696-4300 (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 1124163704 directly on the NPPES registry website.

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