El Shaddai Dental Associates Mattapan PC
Dentist in Mattapan, Massachusetts
1376919696- Practice location
- 542 River St, Mattapan, MA 02126-3014
- Phone
- 617-298-1955
- Fax
- 617-296-6004
- Last updated
- August 20, 2015
El Shaddai Dental Associates Mattapan PC is a healthcare organization based in Mattapan, MA. El Shaddai Dental Associates Mattapan PC practices in Mattapan, MA. The NPI Number for El Shaddai Dental Associates Mattapan PC is 1376919696 and holds a License No. DN19621 (MA). The current practice location address for El Shaddai Dental Associates Mattapan PC is 542 River St, Mattapan, MA 02126-3014 and can be reached out via phone at 617-298-1955 and via fax at 617-296-6004.
Provider Profile Details
- NPI Number
- 1376919696
- Provider Name
- El Shaddai Dental Associates Mattapan PC
- Provider Entity Type
- Organization
- Address
- 542 River St, Mattapan, MA 02126-3014
- Phone Number
- 617-298-1955
- Fax Number
- 617-296-6004
- Primary Taxonomy
- Dentist · 122300000X
- Organization Subpart
- No
- Authorized Official
- Dr. Anthony O Olatunji, DMD · Owner · 617-298-1955
- Provider Enumeration Date
- August 20, 2015
- Last Update Date
- August 20, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 542 River St
Mattapan, MA 02126-3014 - City
- Mattapan
- State
- Massachusetts
- Zip
- 02126-3014
- Phone Number
- 617-298-1955
- Fax Number
- 617-296-6004
Provider Business Mailing Address Details
- Address
- 542 River St
Mattapan, MA 02126-3014 - City
- Mattapan
- State
- MA
- Zip
- 02126-3014
- Phone Number
- 617-298-1955
- Fax Number
- 617-296-6004
License Information
- License Number
- DN19621
- 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 Mattapan, MA
View all Dentists in Mattapan →Frequently Asked Questions
What is the NPI number of El Shaddai Dental Associates Mattapan PC?
The NPI number of El Shaddai Dental Associates Mattapan PC is 1376919696. It was assigned on August 20, 2015 and is currently active in the NPPES registry.
What is the specialty of El Shaddai Dental Associates Mattapan PC?
El Shaddai Dental Associates Mattapan PC is registered under the primary taxonomy Dentist (code 122300000X), licensed in MA under license number DN19621.
Where does El Shaddai Dental Associates Mattapan PC practice?
The practice location is 542 River St, Mattapan, MA 02126-3014. The office can be reached at 617-298-1955 (phone) or 617-296-6004 (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 1376919696 directly on the NPPES registry website.