Active NPIOrganization

Four Corners Dental Care

Dentist in Woburn, Massachusetts

NPI Number1154774404
Practice location
237 Lexington St, Suite 210, Woburn, MA 01801-5984
Fax
781-933-4649
Last updated
July 21, 2016

Four Corners Dental Care is a healthcare organization based in Woburn, MA. Four Corners Dental Care practices in Woburn, MA. The NPI Number for Four Corners Dental Care is 1154774404 and holds a License No. 21707 (MA). The current practice location address for Four Corners Dental Care is 237 Lexington St, Suite 210, Woburn, MA 01801-5984 and can be reached out via phone at 781-933-4144 and via fax at 781-933-4649.

Provider Profile Details

NPI Number
1154774404
Provider Name
Four Corners Dental Care
Provider Entity Type
Organization
Address
237 Lexington St, Suite 210, Woburn, MA 01801-5984
Phone Number
781-933-4144
Fax Number
781-933-4649
Primary Taxonomy
Dentist · 122300000X
Organization Subpart
No
Authorized Official
Kristin Marie Moutevelis · Business Manager · 781-933-4144
Other Names
George P. Moutevelis, DMD (Other Name)
Provider Enumeration Date
July 21, 2016
Last Update Date
July 21, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
237 Lexington St
Suite 210
Woburn, MA 01801-5984
City
Woburn
Zip
01801-5984
Phone Number
781-933-4144
Fax Number
781-933-4649
Woburn, MA 01801Get directions →

Provider Business Mailing Address Details

Address
237 Lexington St
Suite 210
Woburn, MA 01801-5984
City
Woburn
State
MA
Zip
01801-5984
Phone Number
781-933-4144
Fax Number
781-933-4649

License Information

License Number (1)
21707
License State (1)
MA
Taxonomy (1)
Dentist · 122300000X
License Number (2)
15162
License State (2)
MA
Taxonomy (2)
Dentist · 122300000X · 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 Four Corners Dental Care?

The NPI number of Four Corners Dental Care is 1154774404. It was assigned on July 21, 2016 and is currently active in the NPPES registry.

What is the specialty of Four Corners Dental Care?

Four Corners Dental Care is registered under the primary taxonomy Dentist (code 122300000X), licensed in MA under license number 21707.

Where does Four Corners Dental Care practice?

The practice location is 237 Lexington St, Suite 210, Woburn, MA 01801-5984. The office can be reached at 781-933-4144 (phone) or 781-933-4649 (fax).

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 1154774404 directly on the NPPES registry website.

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