Active NPIOrganization

East End Dental Wellness PC

Clinic/Center, Dental in South Easton, Massachusetts

NPI Number1154723443
Practice location
165 Belmont St Ste A, South Easton, MA 02375-1952
Fax
—
Last updated
August 29, 2022

East End Dental Wellness PC is a healthcare organization based in South Easton, MA. East End Dental Wellness PC practices in South Easton, MA. The NPI Number for East End Dental Wellness PC is 1154723443 and holds a License No. DN1855295 (MA). The current practice location address for East End Dental Wellness PC is 165 Belmont St Ste A, South Easton, MA 02375-1952 and can be reached out via phone at 508-230-0048.

Provider Profile Details

NPI Number
1154723443
Provider Name
East End Dental Wellness PC
Provider Entity Type
Organization
Address
165 Belmont St Ste A, South Easton, MA 02375-1952
Phone Number
508-230-0048
Primary Taxonomy
Clinic/Center, Dental · 261QD0000X
Organization Subpart
No
Authorized Official
Dr. Yoon Jae Kim, DMD · President · 617-955-9887
Provider Enumeration Date
September 18, 2014
Last Update Date
August 29, 2022
Certification Date
August 29, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
165 Belmont St Ste A
South Easton, MA 02375-1952
Zip
02375-1952
Phone Number
508-230-0048
South Easton, MA 02375Get directions →

Provider Business Mailing Address Details

Address
165 Belmont St Ste A
South Easton, MA 02375-1952
City
South Easton
State
MA
Zip
02375-1952
Phone Number
508-230-0048

License Information

License Number
DN1855295
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 East End Dental Wellness PC?

The NPI number of East End Dental Wellness PC is 1154723443. It was assigned on September 18, 2014 and is currently active in the NPPES registry.

What is the specialty of East End Dental Wellness PC?

East End Dental Wellness PC is registered under the primary taxonomy Clinic/Center, Dental (code 261QD0000X), licensed in MA under license number DN1855295.

Where does East End Dental Wellness PC practice?

The practice location is 165 Belmont St Ste A, South Easton, MA 02375-1952. The office can be reached at 508-230-0048 (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 1154723443 directly on the NPPES registry website.

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