Active NPIOrganization

West Broadway Family Dental, LLC

Dentist, General Practice in South Boston, Massachusetts

NPI Number1194017871
Practice location
385 West Broadway, South Boston, MA 02127
Fax
—
Last updated
May 12, 2011

West Broadway Family Dental, LLC is a healthcare organization based in South Boston, MA. West Broadway Family Dental, LLC practices in South Boston, MA. The NPI Number for West Broadway Family Dental, LLC is 1194017871 and holds a License No. dn1855380 (MA). The current practice location address for West Broadway Family Dental, LLC is 385 West Broadway, South Boston, MA 02127 and can be reached out via phone at 617-268-8242.

Provider Profile Details

NPI Number
1194017871
Provider Name
West Broadway Family Dental, LLC
Provider Entity Type
Organization
Address
385 West Broadway, South Boston, MA 02127
Phone Number
617-268-8242
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Organization Subpart
No
Authorized Official
Garima Rana · Member · 646-287-6946
Provider Enumeration Date
May 12, 2011
Last Update Date
May 12, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
385 West Broadway
South Boston, MA 02127
Zip
02127
Phone Number
617-268-8242
South Boston, MA 02127Get directions →

Provider Business Mailing Address Details

Address
385 West Broadway
South Boston, MA 02127
City
South Boston
State
MA
Zip
02127

License Information

License Number
dn1855380
License State
MA
Taxonomy
Dentist, General Practice · 1223G0001X · 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 West Broadway Family Dental, LLC?

The NPI number of West Broadway Family Dental, LLC is 1194017871. It was assigned on May 12, 2011 and is currently active in the NPPES registry.

What is the specialty of West Broadway Family Dental, LLC?

West Broadway Family Dental, LLC is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number dn1855380.

Where does West Broadway Family Dental, LLC practice?

The practice location is 385 West Broadway, South Boston, MA 02127. The office can be reached at 617-268-8242 (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 1194017871 directly on the NPPES registry website.

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