Inna O Komarovskaya, DMD
Dentist, General Practice in Hyde Park, Massachusetts
1164692687- Practice location
- 1212 River St, Hyde Park, MA 02136-2906
- Phone
- 617-361-4833
- Fax
- —
- Last updated
- March 12, 2008
Inna O Komarovskaya is a Dentist, General Practice based in Hyde Park, MA. Inna O Komarovskaya practices in Hyde Park, MA and has the professional credentials of DMD. The NPI Number for Inna O Komarovskaya is 1164692687 and holds a License No. 21849 (MA). The current practice location address for Inna O Komarovskaya is 1212 River St, Hyde Park, MA 02136-2906 and can be reached out via phone at 617-361-4833.
Provider Profile Details
- NPI Number
- 1164692687
- Provider Name
- Inna O Komarovskaya
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1212 River St, Hyde Park, MA 02136-2906
- Phone Number
- 617-361-4833
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- March 12, 2008
- Last Update Date
- March 12, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1212 River St
Hyde Park, MA 02136-2906 - City
- Hyde Park
- State
- Massachusetts
- Zip
- 02136-2906
- Phone Number
- 617-361-4833
Provider Business Mailing Address Details
- Address
- 1212 River St
Hyde Park, MA 02136-2906 - City
- Hyde Park
- State
- MA
- Zip
- 02136-2906
License Information
- License Number
- 21849
- License State
- MA
- 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. | |||
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Frequently Asked Questions
What is the NPI number of Inna O Komarovskaya, DMD?
The NPI number of Inna O Komarovskaya, DMD is 1164692687. It was assigned on March 12, 2008 and is currently active in the NPPES registry.
What is the specialty of Inna O Komarovskaya, DMD?
Inna O Komarovskaya, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number 21849.
Where does Inna O Komarovskaya, DMD practice?
The practice location is 1212 River St, Hyde Park, MA 02136-2906. The office can be reached at 617-361-4833 (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 1164692687 directly on the NPPES registry website.