Active NPIIndividual provider

Dr. Miguel A Roque, DMD, MMSC

Dentist, Endodontics in Wellesley, Massachusetts

NPI Number1275982936
Practice location
486 Washington St Lowr Level, Wellesley, MA 02482-5971
Fax
—
Last updated
December 10, 2024

Miguel A Roque is a Dentist, Endodontics based in Wellesley, MA. Miguel A Roque practices in Wellesley, MA and has the professional credentials of DMD, MMSC. The NPI Number for Miguel A Roque is 1275982936 and holds a License No. DN1857248 (MA). The current practice location address for Miguel A Roque is 486 Washington St Lowr Level, Wellesley, MA 02482-5971 and can be reached out via phone at 617-410-8595.

Provider Profile Details

NPI Number
1275982936
Provider Name
Miguel A Roque
Credential
DMD, MMSC
Provider Entity Type
Individual
Gender
Male
Address
486 Washington St Lowr Level, Wellesley, MA 02482-5971
Phone Number
617-410-8595
Primary Taxonomy
Dentist, Endodontics · 1223E0200X
Sole Proprietor
No
Provider Enumeration Date
June 3, 2016
Last Update Date
December 10, 2024
Certification Date
December 10, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
486 Washington St Lowr Level
Wellesley, MA 02482-5971
Zip
02482-5971
Phone Number
617-410-8595
Wellesley, MA 02482Get directions →

Provider Business Mailing Address Details

Address
486 Washington St Lowr Level
Wellesley, MA 02482-5971
City
Wellesley
State
MA
Zip
02482-5971
Phone Number
617-410-8595

License Information

License Number (1)
DN1857248
License State (1)
MA
Taxonomy (1)
Dentist, General Practice · 1223G0001X
License Number (2)
DN1857248
License State (2)
MA
Taxonomy (2)
Dentist, Endodontics · 1223E0200X · 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. Miguel A Roque, DMD, MMSC?

The NPI number of Dr. Miguel A Roque, DMD, MMSC is 1275982936. It was assigned on June 3, 2016 and is currently active in the NPPES registry.

What is the specialty of Dr. Miguel A Roque, DMD, MMSC?

Dr. Miguel A Roque, DMD, MMSC is registered under the primary taxonomy Dentist, Endodontics (code 1223E0200X), licensed in MA under license number DN1857248.

Where does Dr. Miguel A Roque, DMD, MMSC practice?

The practice location is 486 Washington St Lowr Level, Wellesley, MA 02482-5971. The office can be reached at 617-410-8595 (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 1275982936 directly on the NPPES registry website.

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