Medford Main Street Dental P.c.
Dentist in Medford, Massachusetts
1124894894- Practice location
- 101 Main St Ste 207, Medford, MA 02155-4530
- Phone
- 917-455-6237
- Fax
- —
- Last updated
- December 4, 2023
Medford Main Street Dental P.c. is a healthcare organization based in Medford, MA. Medford Main Street Dental P.c. practices in Medford, MA. The NPI Number for Medford Main Street Dental P.c. is 1124894894. The current practice location address for Medford Main Street Dental P.c. is 101 Main St Ste 207, Medford, MA 02155-4530 and can be reached out via phone at 917-455-6237.
Provider Profile Details
- NPI Number
- 1124894894
- Provider Name
- Medford Main Street Dental P.c.
- Provider Entity Type
- Organization
- Address
- 101 Main St Ste 207, Medford, MA 02155-4530
- Phone Number
- 917-455-6237
- Primary Taxonomy
- Dentist · 122300000X
- Organization Subpart
- No
- Authorized Official
- Dr. Tien DO, DMD · Owner · 917-455-6237
- Provider Enumeration Date
- December 4, 2023
- Last Update Date
- December 4, 2023
- Certification Date
- December 3, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 101 Main St Ste 207
Medford, MA 02155-4530 - City
- Medford
- State
- Massachusetts
- Zip
- 02155-4530
- Phone Number
- 917-455-6237
Provider Business Mailing Address Details
- Address
- 101 Main St Ste 207
Medford, MA 02155-4530 - City
- Medford
- State
- MA
- Zip
- 02155-4530
- Phone Number
- 917-455-6237
License Information
- Taxonomy
- Dentist · 122300000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentists near Medford, MA
View all Dentists in Medford →Frequently Asked Questions
What is the NPI number of Medford Main Street Dental P.c.?
The NPI number of Medford Main Street Dental P.c. is 1124894894. It was assigned on December 4, 2023 and is currently active in the NPPES registry.
What is the specialty of Medford Main Street Dental P.c.?
Medford Main Street Dental P.c. is registered under the primary taxonomy Dentist (code 122300000X).
Where does Medford Main Street Dental P.c. practice?
The practice location is 101 Main St Ste 207, Medford, MA 02155-4530. The office can be reached at 917-455-6237 (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 1124894894 directly on the NPPES registry website.