Active NPIIndividual providerSole proprietor

Mr. Shiferaw Awlachew Sr., ETC

Dental Assistant in Everett, Massachusetts

NPI Number1386277663
Practice location
14 Pleasant St, Everett, MA 02149-2811
Fax
—
Last updated
February 15, 2020

Shiferaw Awlachew is a Dental Assistant based in Everett, MA. Shiferaw Awlachew practices in Everett, MA and has the professional credentials of ETC. The NPI Number for Shiferaw Awlachew is 1386277663 and holds a License No. DA08481 (MA). The current practice location address for Shiferaw Awlachew is 14 Pleasant St, Everett, MA 02149-2811 and can be reached out via phone at 781-300-1774.

Provider Profile Details

NPI Number
1386277663
Provider Name
Shiferaw Awlachew
Credential
ETC
Provider Entity Type
Individual
Gender
Male
Address
14 Pleasant St, Everett, MA 02149-2811
Phone Number
781-300-1774
Primary Taxonomy
Dental Assistant · 126800000X
Sole Proprietor
Yes
Provider Enumeration Date
February 15, 2020
Last Update Date
February 15, 2020
Certification Date
February 15, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
14 Pleasant St
Everett, MA 02149-2811
Zip
02149-2811
Phone Number
781-300-1774
Everett, MA 02149Get directions →

Provider Business Mailing Address Details

Address
14 Pleasant St
Everett, MA 02149-2811
City
Everett
State
MA
Zip
02149-2811
Phone Number
781-300-1774

License Information

License Number
DA08481
License State
MA
Taxonomy
Dental Assistant · 126800000X · 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 Mr. Shiferaw Awlachew Sr., ETC?

The NPI number of Mr. Shiferaw Awlachew Sr., ETC is 1386277663. It was assigned on February 15, 2020 and is currently active in the NPPES registry.

What is the specialty of Mr. Shiferaw Awlachew Sr., ETC?

Mr. Shiferaw Awlachew Sr., ETC is registered under the primary taxonomy Dental Assistant (code 126800000X), licensed in MA under license number DA08481.

Where does Mr. Shiferaw Awlachew Sr., ETC practice?

The practice location is 14 Pleasant St, Everett, MA 02149-2811. The office can be reached at 781-300-1774 (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 1386277663 directly on the NPPES registry website.

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