Everett Dental Management Co.
Dentist in Everett, Massachusetts
1255421699- Practice location
- 459 Broadway, Everett, MA 02149-3614
- Phone
- 617-389-2005
- Fax
- 617-389-1007
- Last updated
- August 22, 2020
Everett Dental Management Co. is a healthcare organization based in Everett, MA. Everett Dental Management Co. practices in Everett, MA. The NPI Number for Everett Dental Management Co. is 1255421699 and holds a License No. 21211 (MA). The current practice location address for Everett Dental Management Co. is 459 Broadway, Everett, MA 02149-3614 and can be reached out via phone at 617-389-2005 and via fax at 617-389-1007.
Provider Profile Details
- NPI Number
- 1255421699
- Provider Name
- Everett Dental Management Co.
- Provider Entity Type
- Organization
- Address
- 459 Broadway, Everett, MA 02149-3614
- Phone Number
- 617-389-2005
- Fax Number
- 617-389-1007
- Primary Taxonomy
- Dentist · 122300000X
- Organization Subpart
- No
- Authorized Official
- Dr. Ekaterina Mamulashili, DMD · Owner · 617-389-2005
- Other Names
- Everett Dental (Doing Business As)
- Provider Enumeration Date
- October 14, 2006
- Last Update Date
- August 22, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 459 Broadway
Everett, MA 02149-3614 - City
- Everett
- State
- Massachusetts
- Zip
- 02149-3614
- Phone Number
- 617-389-2005
- Fax Number
- 617-389-1007
Provider Business Mailing Address Details
- Address
- 459 Broadway
Everett, MA 02149-3614 - City
- Everett
- State
- MA
- Zip
- 02149-3614
- Phone Number
- 617-389-2005
- Fax Number
- 617-389-1007
License Information
- License Number
- 21211
- License State
- MA
- Taxonomy
- Dentist · 122300000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentists near Everett, MA
View all Dentists in Everett →Frequently Asked Questions
What is the NPI number of Everett Dental Management Co.?
The NPI number of Everett Dental Management Co. is 1255421699. It was assigned on October 14, 2006 and is currently active in the NPPES registry.
What is the specialty of Everett Dental Management Co.?
Everett Dental Management Co. is registered under the primary taxonomy Dentist (code 122300000X), licensed in MA under license number 21211.
Where does Everett Dental Management Co. practice?
The practice location is 459 Broadway, Everett, MA 02149-3614. The office can be reached at 617-389-2005 (phone) or 617-389-1007 (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 1255421699 directly on the NPPES registry website.