Active NPIOrganization

Sameka Dental Management

Dentist, General Practice in South Boston, Massachusetts

NPI Number1205015179
Practice location
500 E Broadway, South Boston, MA 02127-4406
Fax
617-268-8894
Last updated
October 29, 2007

Sameka Dental Management is a healthcare organization based in South Boston, MA. Sameka Dental Management practices in South Boston, MA. The NPI Number for Sameka Dental Management is 1205015179 and holds a License No. 21211 (MA). The current practice location address for Sameka Dental Management is 500 E Broadway, South Boston, MA 02127-4406 and can be reached out via phone at 617-268-2333 and via fax at 617-268-8894.

Provider Profile Details

NPI Number
1205015179
Provider Name
Sameka Dental Management
Provider Entity Type
Organization
Address
500 E Broadway, South Boston, MA 02127-4406
Phone Number
617-268-2333
Fax Number
617-268-8894
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Organization Subpart
No
Authorized Official
Dr. Ekaterina Mamulashvili, DMD · Dentist · 617-268-2333
Provider Enumeration Date
October 29, 2007
Last Update Date
October 29, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
500 E Broadway
South Boston, MA 02127-4406
Zip
02127-4406
Phone Number
617-268-2333
Fax Number
617-268-8894
South Boston, MA 02127Get directions →

Provider Business Mailing Address Details

Address
500 E Broadway
South Boston, MA 02127-4406
City
South Boston
State
MA
Zip
02127-4406
Phone Number
617-268-2333
Fax Number
617-268-8894

License Information

License Number
21211
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 Sameka Dental Management?

The NPI number of Sameka Dental Management is 1205015179. It was assigned on October 29, 2007 and is currently active in the NPPES registry.

What is the specialty of Sameka Dental Management?

Sameka Dental Management is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number 21211.

Where does Sameka Dental Management practice?

The practice location is 500 E Broadway, South Boston, MA 02127-4406. The office can be reached at 617-268-2333 (phone) or 617-268-8894 (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 1205015179 directly on the NPPES registry website.

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