Active NPIIndividual providerSole proprietor

Dr. Michael J Bane, DDS

Dentist, General Practice in Cambridge, Massachusetts

NPI Number1275552804
Practice location
2179 Massachusetts Ave, Cambridge, MA 02140-1210
Fax
—
Last updated
July 8, 2007

Michael J Bane is a Dentist, General Practice based in Cambridge, MA. Michael J Bane practices in Cambridge, MA and has the professional credentials of DDS. The NPI Number for Michael J Bane is 1275552804 and holds a License No. 17304 (MA). The current practice location address for Michael J Bane is 2179 Massachusetts Ave, Cambridge, MA 02140-1210 and can be reached out via phone at 617-864-8629.

Provider Profile Details

NPI Number
1275552804
Provider Name
Michael J Bane
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
2179 Massachusetts Ave, Cambridge, MA 02140-1210
Phone Number
617-864-8629
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
July 18, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
2179 Massachusetts Ave
Cambridge, MA 02140-1210
Zip
02140-1210
Phone Number
617-864-8629
Cambridge, MA 02140Get directions →

Provider Business Mailing Address Details

Address
2179 Massachusetts Ave
Cambridge, MA 02140-1210
City
Cambridge
State
MA
Zip
02140-1210

License Information

License Number
17304
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 Dr. Michael J Bane, DDS?

The NPI number of Dr. Michael J Bane, DDS is 1275552804. It was assigned on July 18, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Michael J Bane, DDS?

Dr. Michael J Bane, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number 17304.

Where does Dr. Michael J Bane, DDS practice?

The practice location is 2179 Massachusetts Ave, Cambridge, MA 02140-1210. The office can be reached at 617-864-8629 (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 1275552804 directly on the NPPES registry website.

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