Ine R Santoso, DDS
Dentist in Northborough, Massachusetts
1396956272- Practice location
- 133 Church St., Northborough, MA 01532-0507
- Phone
- 508-393-2318
- Fax
- —
- Last updated
- July 8, 2007
Ine R. Santoso is a Dentist based in Northborough, MA. Ine R. Santoso practices in Northborough, MA and has the professional credentials of DDS. The NPI Number for Ine R. Santoso is 1396956272 and holds a License No. MA 17205 (MA). The current practice location address for Ine R. Santoso is 133 Church St., Northborough, MA 01532-0507 and can be reached out via phone at 508-393-2318.
Provider Profile Details
- NPI Number
- 1396956272
- Provider Name
- Ine R. Santoso
- Credential
- DDS
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 133 Church St., Northborough, MA 01532-0507
- Phone Number
- 508-393-2318
- Primary Taxonomy
- Dentist · 122300000X
- Sole Proprietor
- Yes
- Other Names
- Dr. Ine Rahardja, DDS (Former Name)
- Provider Enumeration Date
- May 24, 2007
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 133 Church St.
Northborough, MA 01532-0507 - City
- Northborough
- State
- Massachusetts
- Zip
- 01532-0507
- Phone Number
- 508-393-2318
Provider Business Mailing Address Details
- Address
- Po Box 507
133 Church St.
Northborough, MA 01532-0507 - City
- Northborough
- State
- MA
- Zip
- 01532-0507
- Phone Number
- 508-393-2318
License Information
- License Number
- MA 17205
- 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 Northborough, MA
View all Dentists in Northborough →Frequently Asked Questions
What is the NPI number of Ine R Santoso, DDS?
The NPI number of Ine R Santoso, DDS is 1396956272. It was assigned on May 24, 2007 and is currently active in the NPPES registry.
What is the specialty of Ine R Santoso, DDS?
Ine R Santoso, DDS is registered under the primary taxonomy Dentist (code 122300000X), licensed in MA under license number MA 17205.
Where does Ine R Santoso, DDS practice?
The practice location is 133 Church St., Northborough, MA 01532-0507. The office can be reached at 508-393-2318 (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 1396956272 directly on the NPPES registry website.