Active NPIIndividual provider

Mr. Domenic Damico, DMD

Dentist, General Practice in Watertown, Massachusetts

NPI Number1225140494
Practice location
359 Main St, Watertown, MA 02474
Fax
617-923-9618
Last updated
July 8, 2007

Domenic Damico is a Dentist, General Practice based in Watertown, MA. Domenic Damico practices in Watertown, MA and has the professional credentials of DMD. The NPI Number for Domenic Damico is 1225140494 and holds a License No. 17710 (MA). The current practice location address for Domenic Damico is 359 Main St, Watertown, MA 02474 and can be reached out via phone at 617-926-1801 and via fax at 617-923-9618.

Provider Profile Details

NPI Number
1225140494
Provider Name
Domenic Damico
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
359 Main St, Watertown, MA 02474
Phone Number
617-926-1801
Fax Number
617-923-9618
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Provider Enumeration Date
August 31, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
359 Main St
Watertown, MA 02474
Zip
02474
Phone Number
617-926-1801
Fax Number
617-923-9618
Watertown, MA 02474Get directions →

Provider Business Mailing Address Details

Address
359 Main St
Watertown, MA 02474
City
Watertown
State
MA
Zip
02474
Phone Number
617-926-1801
Fax Number
617-923-9618

License Information

License Number
17710
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 Mr. Domenic Damico, DMD?

The NPI number of Mr. Domenic Damico, DMD is 1225140494. It was assigned on August 31, 2006 and is currently active in the NPPES registry.

What is the specialty of Mr. Domenic Damico, DMD?

Mr. Domenic Damico, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number 17710.

Where does Mr. Domenic Damico, DMD practice?

The practice location is 359 Main St, Watertown, MA 02474. The office can be reached at 617-926-1801 (phone) or 617-923-9618 (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 1225140494 directly on the NPPES registry website.

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