Active NPIIndividual provider

Dr. Vivian E Laurencio, DMD

Dentist in Everett, Massachusetts

NPI Number1407531635
Practice location
459 Broadway, Everett, MA 02149-3614
Fax
508-485-5092
Last updated
August 3, 2023

Vivian Elizabeth Laurencio is a Dentist based in Everett, MA. Vivian Elizabeth Laurencio practices in Everett, MA and has the professional credentials of DMD. The NPI Number for Vivian Elizabeth Laurencio is 1407531635 and holds a License No. DN1859905 (MA). The current practice location address for Vivian Elizabeth Laurencio is 459 Broadway, Everett, MA 02149-3614 and can be reached out via phone at 508-861-2258 and via fax at 508-485-5092.

Provider Profile Details

NPI Number
1407531635
Provider Name
Vivian Elizabeth Laurencio
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
459 Broadway, Everett, MA 02149-3614
Phone Number
508-861-2258
Fax Number
508-485-5092
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
No
Provider Enumeration Date
June 15, 2023
Last Update Date
August 3, 2023
Certification Date
August 3, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
459 Broadway
Everett, MA 02149-3614
Zip
02149-3614
Phone Number
508-861-2258
Fax Number
508-485-5092
Everett, MA 02149Get directions →

Provider Business Mailing Address Details

Address
459 Broadway
Everett, MA 02149-3614
City
Everett
State
MA
Zip
02149-3614
Phone Number
508-861-2258
Fax Number
508-485-5092

License Information

License Number
DN1859905
License State
MA
Taxonomy
Dentist · 122300000X · 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 Dr. Vivian E Laurencio, DMD?

The NPI number of Dr. Vivian E Laurencio, DMD is 1407531635. It was assigned on June 15, 2023 and is currently active in the NPPES registry.

What is the specialty of Dr. Vivian E Laurencio, DMD?

Dr. Vivian E Laurencio, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in MA under license number DN1859905.

Where does Dr. Vivian E Laurencio, DMD practice?

The practice location is 459 Broadway, Everett, MA 02149-3614. The office can be reached at 508-861-2258 (phone) or 508-485-5092 (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 1407531635 directly on the NPPES registry website.

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