Active NPIOrganization

Park Avenue Dental Associates, INC

Dentist in Revere, Massachusetts

NPI Number1215266481
Practice location
500 Park Ave, Revere, MA 02151-3324
Fax
—
Last updated
December 16, 2009

Park Avenue Dental Associates, INC is a healthcare organization based in Revere, MA. Park Avenue Dental Associates, INC practices in Revere, MA. The NPI Number for Park Avenue Dental Associates, INC is 1215266481 and holds a License No. 19825 (MA). The current practice location address for Park Avenue Dental Associates, INC is 500 Park Ave, Revere, MA 02151-3324 and can be reached out via phone at 781-284-1177.

Provider Profile Details

NPI Number
1215266481
Provider Name
Park Avenue Dental Associates, INC
Provider Entity Type
Organization
Address
500 Park Ave, Revere, MA 02151-3324
Phone Number
781-284-1177
Primary Taxonomy
Dentist · 122300000X
Organization Subpart
No
Authorized Official
Dr. Sherry Soleymani, DMD · Dentist/Office Manager · 781-284-1177
Provider Enumeration Date
December 16, 2009
Last Update Date
December 16, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
500 Park Ave
Revere, MA 02151-3324
City
Revere
Zip
02151-3324
Phone Number
781-284-1177
Revere, MA 02151Get directions →

Provider Business Mailing Address Details

Address
500 Park Ave
Revere, MA 02151-3324
City
Revere
State
MA
Zip
02151-3324
Phone Number
781-284-1177

License Information

License Number
19825
License State
MA
Taxonomy
Dentist · 122300000X · 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 Park Avenue Dental Associates, INC?

The NPI number of Park Avenue Dental Associates, INC is 1215266481. It was assigned on December 16, 2009 and is currently active in the NPPES registry.

What is the specialty of Park Avenue Dental Associates, INC?

Park Avenue Dental Associates, INC is registered under the primary taxonomy Dentist (code 122300000X), licensed in MA under license number 19825.

Where does Park Avenue Dental Associates, INC practice?

The practice location is 500 Park Ave, Revere, MA 02151-3324. The office can be reached at 781-284-1177 (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 1215266481 directly on the NPPES registry website.

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