Active NPIOrganization

Mattapan Square Family Dental PC

Dentist in Mattapan, Massachusetts

NPI Number1295907467
Practice location
1634 Blue Hill Ave, Mattapan, MA 02126-2121
Fax
617-298-2002
Last updated
March 28, 2008

Mattapan Square Family Dental PC is a healthcare organization based in Mattapan, MA. Mattapan Square Family Dental PC practices in Mattapan, MA. The NPI Number for Mattapan Square Family Dental PC is 1295907467 and holds a License No. 20485 (MA). The current practice location address for Mattapan Square Family Dental PC is 1634 Blue Hill Ave, Mattapan, MA 02126-2121 and can be reached out via phone at 617-298-2000 and via fax at 617-298-2002.

Provider Profile Details

NPI Number
1295907467
Provider Name
Mattapan Square Family Dental PC
Provider Entity Type
Organization
Address
1634 Blue Hill Ave, Mattapan, MA 02126-2121
Phone Number
617-298-2000
Fax Number
617-298-2002
Primary Taxonomy
Dentist · 122300000X
Organization Subpart
No
Authorized Official
Alex Faigel · Manager · 617-823-2111
Provider Enumeration Date
March 28, 2008
Last Update Date
March 28, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
1634 Blue Hill Ave
Mattapan, MA 02126-2121
Zip
02126-2121
Phone Number
617-298-2000
Fax Number
617-298-2002
Mattapan, MA 02126Get directions →

Provider Business Mailing Address Details

Address
1634 Blue Hill Ave
Mattapan, MA 02126-2121
City
Mattapan
State
MA
Zip
02126-2121
Phone Number
617-298-2000
Fax Number
617-298-2002

License Information

License Number
20485
License State
MA
Taxonomy
Dentist · 122300000X · 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 Mattapan Square Family Dental PC?

The NPI number of Mattapan Square Family Dental PC is 1295907467. It was assigned on March 28, 2008 and is currently active in the NPPES registry.

What is the specialty of Mattapan Square Family Dental PC?

Mattapan Square Family Dental PC is registered under the primary taxonomy Dentist (code 122300000X), licensed in MA under license number 20485.

Where does Mattapan Square Family Dental PC practice?

The practice location is 1634 Blue Hill Ave, Mattapan, MA 02126-2121. The office can be reached at 617-298-2000 (phone) or 617-298-2002 (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 1295907467 directly on the NPPES registry website.

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