Active NPIOrganization

Seaport Dental Associates, LLC

Dentist, General Practice in Milton, Massachusetts

NPI Number1326417569
Practice location
588 Randolph Ave, Milton, MA 02186-4524
Fax
617-737-6324
Last updated
March 8, 2016

Seaport Dental Associates, LLC is a healthcare organization based in Milton, MA. Seaport Dental Associates, LLC practices in Milton, MA. The NPI Number for Seaport Dental Associates, LLC is 1326417569 and holds a License No. 21316 (MA). The current practice location address for Seaport Dental Associates, LLC is 588 Randolph Ave, Milton, MA 02186-4524 and can be reached out via phone at 617-737-6453 and via fax at 617-737-6324.

Provider Profile Details

NPI Number
1326417569
Provider Name
Seaport Dental Associates, LLC
Provider Entity Type
Organization
Address
588 Randolph Ave, Milton, MA 02186-4524
Phone Number
617-737-6453
Fax Number
617-737-6324
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Organization Subpart
Yes
Parent Organization
Seaport Dental Associates, LLC
Authorized Official
Dr. Elizabeth Greenberg Rooney, DMD · Owner · 617-737-6453
Provider Enumeration Date
September 17, 2015
Last Update Date
March 8, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
588 Randolph Ave
Milton, MA 02186-4524
City
Milton
Zip
02186-4524
Phone Number
617-737-6453
Fax Number
617-737-6324
Milton, MA 02186Get directions →

Provider Business Mailing Address Details

Address
451 D St Ste 200
Boston, MA 02210-1964
City
Boston
State
MA
Zip
02210-1964
Phone Number
617-737-6453
Fax Number
617-737-6324

License Information

License Number
21316
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 Seaport Dental Associates, LLC?

The NPI number of Seaport Dental Associates, LLC is 1326417569. It was assigned on September 17, 2015 and is currently active in the NPPES registry.

What is the specialty of Seaport Dental Associates, LLC?

Seaport Dental Associates, LLC is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number 21316.

Where does Seaport Dental Associates, LLC practice?

The practice location is 588 Randolph Ave, Milton, MA 02186-4524. The office can be reached at 617-737-6453 (phone) or 617-737-6324 (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 1326417569 directly on the NPPES registry website.

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