- Practice location
- 370 Broadway, Revere, MA 02151-5016
- Phone
- 617-547-0700
- Fax
- —
- Last updated
- October 16, 2015
All Dental Of Revere is a healthcare organization based in Revere, MA. All Dental Of Revere practices in Revere, MA. The NPI Number for All Dental Of Revere is 1285005207 and holds a License No. 18643 (MA). The current practice location address for All Dental Of Revere is 370 Broadway, Revere, MA 02151-5016 and can be reached out via phone at 617-547-0700.
Provider Profile Details
- NPI Number
- 1285005207
- Provider Name
- All Dental Of Revere
- Provider Entity Type
- Organization
- Address
- 370 Broadway, Revere, MA 02151-5016
- Phone Number
- 617-547-0700
- Primary Taxonomy
- Dentist · 122300000X
- Organization Subpart
- No
- Authorized Official
- Dr. Andrey Mazo · President · 617-285-6414
- Provider Enumeration Date
- October 16, 2015
- Last Update Date
- October 16, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 370 Broadway
Revere, MA 02151-5016 - City
- Revere
- State
- Massachusetts
- Zip
- 02151-5016
- Phone Number
- 617-547-0700
Provider Business Mailing Address Details
- Address
- 370 Broadway
Revere, MA 02151-5016 - City
- Revere
- State
- MA
- Zip
- 02151-5016
License Information
- License Number
- 18643
- 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 Revere, MA
View all Dentists in Revere →Frequently Asked Questions
What is the NPI number of All Dental Of Revere?
The NPI number of All Dental Of Revere is 1285005207. It was assigned on October 16, 2015 and is currently active in the NPPES registry.
What is the specialty of All Dental Of Revere?
All Dental Of Revere is registered under the primary taxonomy Dentist (code 122300000X), licensed in MA under license number 18643.
Where does All Dental Of Revere practice?
The practice location is 370 Broadway, Revere, MA 02151-5016. The office can be reached at 617-547-0700 (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 1285005207 directly on the NPPES registry website.