Dr. Anissa Derrouche, DMD
Dentist in Charlestown, Massachusetts
1386851996- Practice location
- 529 Main St Ste 209, Charlestown, MA 02129-1135
- Phone
- 617-241-9220
- Fax
- 617-241-4905
- Last updated
- October 1, 2024
Anissa Derrouche is a Dentist based in Charlestown, MA. Anissa Derrouche practices in Charlestown, MA and has the professional credentials of DMD. The NPI Number for Anissa Derrouche is 1386851996 and holds a License No. 20671 (MA). The current practice location address for Anissa Derrouche is 529 Main St Ste 209, Charlestown, MA 02129-1135 and can be reached out via phone at 617-241-9220 and via fax at 617-241-4905.
Provider Profile Details
- NPI Number
- 1386851996
- Provider Name
- Anissa Derrouche
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 529 Main St Ste 209, Charlestown, MA 02129-1135
- Phone Number
- 617-241-9220
- Fax Number
- 617-241-4905
- Primary Taxonomy
- Dentist · 122300000X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 16, 2007
- Last Update Date
- October 1, 2024
- Certification Date
- October 1, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 529 Main St Ste 209
Charlestown, MA 02129-1135 - City
- Charlestown
- State
- Massachusetts
- Zip
- 02129-1135
- Phone Number
- 617-241-9220
- Fax Number
- 617-241-4905
Provider Business Mailing Address Details
- Address
- 529 Main St Ste 209
Charlestown, MA 02129-1135 - City
- Charlestown
- State
- MA
- Zip
- 02129-1135
- Phone Number
- 617-241-9220
- Fax Number
- 617-241-4905
License Information
- License Number
- 20671
- 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. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Anissa Derrouche, DMD?
The NPI number of Dr. Anissa Derrouche, DMD is 1386851996. It was assigned on May 16, 2007 and is currently active in the NPPES registry.
What is the specialty of Dr. Anissa Derrouche, DMD?
Dr. Anissa Derrouche, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in MA under license number 20671.
Where does Dr. Anissa Derrouche, DMD practice?
The practice location is 529 Main St Ste 209, Charlestown, MA 02129-1135. The office can be reached at 617-241-9220 (phone) or 617-241-4905 (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 1386851996 directly on the NPPES registry website.