Revere Dentistry And Braces LLC
Dentist, General Practice in Revere, Massachusetts
1154849198- Practice location
- 370 Broadway, Revere, MA 02151-5016
- Phone
- 781-629-6636
- Fax
- 781-629-6034
- Last updated
- March 10, 2026
Revere Dentistry And Braces LLC is a healthcare organization based in Revere, MA. Revere Dentistry And Braces LLC practices in Revere, MA. The NPI Number for Revere Dentistry And Braces LLC is 1154849198. The current practice location address for Revere Dentistry And Braces LLC is 370 Broadway, Revere, MA 02151-5016 and can be reached out via phone at 781-629-6636 and via fax at 781-629-6034.
Provider Profile Details
- NPI Number
- 1154849198
- Provider Name
- Revere Dentistry And Braces LLC
- Provider Entity Type
- Organization
- Address
- 370 Broadway, Revere, MA 02151-5016
- Phone Number
- 781-629-6636
- Fax Number
- 781-629-6034
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Organization Subpart
- No
- Authorized Official
- Todd Pachello · Chief Revenue Officer · 720-475-6482
- Provider Enumeration Date
- August 30, 2017
- Last Update Date
- March 10, 2026
- Certification Date
- March 10, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 370 Broadway
Revere, MA 02151-5016 - City
- Revere
- State
- Massachusetts
- Zip
- 02151-5016
- Phone Number
- 781-629-6636
- Fax Number
- 781-629-6034
Provider Business Mailing Address Details
- Address
- 5 Mount Royal Ave Ste 300
Marlborough, MA 01752-1900 - City
- Marlborough
- State
- MA
- Zip
- 01752-1900
- Phone Number
- 508-460-0632
License Information
- Taxonomy
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentist, General Practice providers near Revere, MA
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- Becker, Becker & Silvius, LLCDentist, General Practice · NPI 1588701684
- Boris Bacanurschi, DMDDentist, General Practice · NPI 1447365663
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Frequently Asked Questions
What is the NPI number of Revere Dentistry And Braces LLC?
The NPI number of Revere Dentistry And Braces LLC is 1154849198. It was assigned on August 30, 2017 and is currently active in the NPPES registry.
What is the specialty of Revere Dentistry And Braces LLC?
Revere Dentistry And Braces LLC is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X).
Where does Revere Dentistry And Braces LLC practice?
The practice location is 370 Broadway, Revere, MA 02151-5016. The office can be reached at 781-629-6636 (phone) or 781-629-6034 (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 1154849198 directly on the NPPES registry website.