Everett Childrens' Dental Center PC
Clinic/Center, Dental in Everett, Massachusetts
1407052830- Practice location
- 186 Elm St, Everett, MA 02149-5222
- Phone
- 617-389-2112
- Fax
- 617-389-5885
- Last updated
- August 22, 2020
Everett Childrens' Dental Center PC is a healthcare organization based in Everett, MA. Everett Childrens' Dental Center PC practices in Everett, MA. The NPI Number for Everett Childrens' Dental Center PC is 1407052830 and holds a License No. 19582 (MA). The current practice location address for Everett Childrens' Dental Center PC is 186 Elm St, Everett, MA 02149-5222 and can be reached out via phone at 617-389-2112 and via fax at 617-389-5885.
Provider Profile Details
- NPI Number
- 1407052830
- Provider Name
- Everett Childrens' Dental Center PC
- Provider Entity Type
- Organization
- Address
- 186 Elm St, Everett, MA 02149-5222
- Phone Number
- 617-389-2112
- Fax Number
- 617-389-5885
- Primary Taxonomy
- Clinic/Center, Dental · 261QD0000X
- Organization Subpart
- No
- Authorized Official
- Mr. Chris Thach · Office Manager · 617-389-2112
- Provider Enumeration Date
- June 22, 2007
- Last Update Date
- August 22, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 186 Elm St
Everett, MA 02149-5222 - City
- Everett
- State
- Massachusetts
- Zip
- 02149-5222
- Phone Number
- 617-389-2112
- Fax Number
- 617-389-5885
Provider Business Mailing Address Details
- Address
- 186 Elm St
Everett, MA 02149-5222 - City
- Everett
- State
- MA
- Zip
- 02149-5222
- Phone Number
- 617-389-2112
- Fax Number
- 617-389-5885
License Information
- License Number
- 19582
- 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 Everett Childrens' Dental Center PC?
The NPI number of Everett Childrens' Dental Center PC is 1407052830. It was assigned on June 22, 2007 and is currently active in the NPPES registry.
What is the specialty of Everett Childrens' Dental Center PC?
Everett Childrens' Dental Center PC is registered under the primary taxonomy Clinic/Center, Dental (code 261QD0000X), licensed in MA under license number 19582.
Where does Everett Childrens' Dental Center PC practice?
The practice location is 186 Elm St, Everett, MA 02149-5222. The office can be reached at 617-389-2112 (phone) or 617-389-5885 (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 1407052830 directly on the NPPES registry website.