Ethio Dental Care
Clinic/Center, Dental in Cambridge, Massachusetts
1386997989- Practice location
- 545 Concord Ave, Suite 7, Cambridge, MA 02138
- Phone
- 617-714-3431
- Fax
- 617-945-1487
- Last updated
- October 19, 2012
Ethio Dental Care is a healthcare organization based in Cambridge, MA. Ethio Dental Care practices in Cambridge, MA. The NPI Number for Ethio Dental Care is 1386997989 and holds a License No. 4KHL (MA). The current practice location address for Ethio Dental Care is 545 Concord Ave, Suite 7, Cambridge, MA 02138 and can be reached out via phone at 617-714-3431 and via fax at 617-945-1487.
Provider Profile Details
- NPI Number
- 1386997989
- Provider Name
- Ethio Dental Care
- Provider Entity Type
- Organization
- Address
- 545 Concord Ave, Suite 7, Cambridge, MA 02138
- Phone Number
- 617-714-3431
- Fax Number
- 617-945-1487
- Primary Taxonomy
- Clinic/Center, Dental · 261QD0000X
- Organization Subpart
- No
- Authorized Official
- Samson Hileyesues · Owner · 617-714-3431
- Provider Enumeration Date
- October 19, 2012
- Last Update Date
- October 19, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 545 Concord Ave
Suite 7
Cambridge, MA 02138 - City
- Cambridge
- State
- Massachusetts
- Zip
- 02138
- Phone Number
- 617-714-3431
- Fax Number
- 617-945-1487
Provider Business Mailing Address Details
- Address
- 545 Concord Ave
Suite 7
Cambridge, MA 02138 - City
- Cambridge
- State
- MA
- Zip
- 02138
- Phone Number
- 617-714-3431
- Fax Number
- 617-945-1487
License Information
- License Number
- 4KHL
- License State
- MA
- Taxonomy
- Clinic/Center, Dental · 261QD0000X · 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 Ethio Dental Care?
The NPI number of Ethio Dental Care is 1386997989. It was assigned on October 19, 2012 and is currently active in the NPPES registry.
What is the specialty of Ethio Dental Care?
Ethio Dental Care is registered under the primary taxonomy Clinic/Center, Dental (code 261QD0000X), licensed in MA under license number 4KHL.
Where does Ethio Dental Care practice?
The practice location is 545 Concord Ave, Suite 7, Cambridge, MA 02138. The office can be reached at 617-714-3431 (phone) or 617-945-1487 (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 1386997989 directly on the NPPES registry website.