Active NPIOrganization

First Impression Dental, PLLC

Clinic/Center, Dental in Cambridge, Massachusetts

NPI Number1124484001
Practice location
1751 Massachusetts Ave Fl 1, Cambridge, MA 02140-2218
Fax
—
Last updated
January 26, 2016

First Impression Dental, PLLC is a healthcare organization based in Cambridge, MA. First Impression Dental, PLLC practices in Cambridge, MA. The NPI Number for First Impression Dental, PLLC is 1124484001 and holds a License No. 1258907 (MA). The current practice location address for First Impression Dental, PLLC is 1751 Massachusetts Ave Fl 1, Cambridge, MA 02140-2218 and can be reached out via phone at 617-207-8667.

Provider Profile Details

NPI Number
1124484001
Provider Name
First Impression Dental, PLLC
Provider Entity Type
Organization
Address
1751 Massachusetts Ave Fl 1, Cambridge, MA 02140-2218
Phone Number
617-207-8667
Primary Taxonomy
Clinic/Center, Dental · 261QD0000X
Organization Subpart
No
Authorized Official
Dr. Dmitry Grigory Merzon, DMD · Owner · 617-207-8667
Provider Enumeration Date
January 8, 2016
Last Update Date
January 26, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
1751 Massachusetts Ave Fl 1
Cambridge, MA 02140-2218
Zip
02140-2218
Phone Number
617-207-8667
Cambridge, MA 02140Get directions →

Provider Business Mailing Address Details

Address
1751 Massachusetts Ave Fl 1
Cambridge, MA 02140-2218
City
Cambridge
State
MA
Zip
02140-2218
Phone Number
617-207-8667

License Information

License Number
1258907
License State
MA
Taxonomy
Clinic/Center, Dental · 261QD0000X · 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 First Impression Dental, PLLC?

The NPI number of First Impression Dental, PLLC is 1124484001. It was assigned on January 8, 2016 and is currently active in the NPPES registry.

What is the specialty of First Impression Dental, PLLC?

First Impression Dental, PLLC is registered under the primary taxonomy Clinic/Center, Dental (code 261QD0000X), licensed in MA under license number 1258907.

Where does First Impression Dental, PLLC practice?

The practice location is 1751 Massachusetts Ave Fl 1, Cambridge, MA 02140-2218. The office can be reached at 617-207-8667 (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 1124484001 directly on the NPPES registry website.

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