Active NPIOrganization

Ryan D. Blissett, D.m.d., P.c.

Clinic/Center, Dental in Brookline, Massachusetts

NPI Number1164651550
Practice location
1540 Beacon St, Brookline, MA 02446-2215
Fax
617-734-0673
Last updated
July 7, 2009

Ryan D. Blissett, D.m.d., P.c. is a healthcare organization based in Brookline, MA. Ryan D. Blissett, D.m.d., P.c. practices in Brookline, MA. The NPI Number for Ryan D. Blissett, D.m.d., P.c. is 1164651550 and holds a License No. 21630 (MA). The current practice location address for Ryan D. Blissett, D.m.d., P.c. is 1540 Beacon St, Brookline, MA 02446-2215 and can be reached out via phone at 617-738-1950 and via fax at 617-734-0673.

Provider Profile Details

NPI Number
1164651550
Provider Name
Ryan D. Blissett, D.m.d., P.c.
Provider Entity Type
Organization
Address
1540 Beacon St, Brookline, MA 02446-2215
Phone Number
617-738-1950
Fax Number
617-734-0673
Primary Taxonomy
Clinic/Center, Dental · 261QD0000X
Organization Subpart
No
Authorized Official
Dr. Ryan Douglas Blissett, DMD · Prosthodontist · 617-738-1950
Provider Enumeration Date
July 7, 2009
Last Update Date
July 7, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
1540 Beacon St
Brookline, MA 02446-2215
Zip
02446-2215
Phone Number
617-738-1950
Fax Number
617-734-0673
Brookline, MA 02446Get directions →

Provider Business Mailing Address Details

Address
60 Joy St
#204
Boston, MA 02114-4008
City
Boston
State
MA
Zip
02114-4008
Phone Number
857-753-4114

License Information

License Number
21630
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 Ryan D. Blissett, D.m.d., P.c.?

The NPI number of Ryan D. Blissett, D.m.d., P.c. is 1164651550. It was assigned on July 7, 2009 and is currently active in the NPPES registry.

What is the specialty of Ryan D. Blissett, D.m.d., P.c.?

Ryan D. Blissett, D.m.d., P.c. is registered under the primary taxonomy Clinic/Center, Dental (code 261QD0000X), licensed in MA under license number 21630.

Where does Ryan D. Blissett, D.m.d., P.c. practice?

The practice location is 1540 Beacon St, Brookline, MA 02446-2215. The office can be reached at 617-738-1950 (phone) or 617-734-0673 (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 1164651550 directly on the NPPES registry website.

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