Active NPIOrganization

Porter Square Family Dental

Dentist, General Practice in Cambridge, Massachusetts

NPI Number1417182437
Practice location
14 Upland RD, Cambridge, MA 02140-2712
Fax
—
Last updated
May 19, 2009

Porter Square Family Dental is a healthcare organization based in Cambridge, MA. Porter Square Family Dental practices in Cambridge, MA. The NPI Number for Porter Square Family Dental is 1417182437 and holds a License No. 22266 (MA). The current practice location address for Porter Square Family Dental is 14 Upland RD, Cambridge, MA 02140-2712 and can be reached out via phone at 617-547-3934.

Provider Profile Details

NPI Number
1417182437
Provider Name
Porter Square Family Dental
Provider Entity Type
Organization
Address
14 Upland RD, Cambridge, MA 02140-2712
Phone Number
617-547-3934
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Organization Subpart
No
Authorized Official
Dr. Sara Lea Perkins, DMD · Dentist · 617-547-3934
Provider Enumeration Date
May 19, 2009
Last Update Date
May 19, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
14 Upland RD
Cambridge, MA 02140-2712
Zip
02140-2712
Phone Number
617-547-3934
Cambridge, MA 02140Get directions →

Provider Business Mailing Address Details

Address
14 Upland RD
Cambridge, MA 02140-2712
City
Cambridge
State
MA
Zip
02140-2712
Phone Number
617-547-3934

License Information

License Number (1)
22266
License State (1)
MA
Taxonomy (1)
Dentist, General Practice · 1223G0001X
License Number (2)
20292
License State (2)
MA
Taxonomy (2)
Dentist, Prosthodontics · 1223P0700X
License Number (3)
21641
License State (3)
MA
Taxonomy (3)
Dentist, General Practice · 1223G0001X · 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 Porter Square Family Dental?

The NPI number of Porter Square Family Dental is 1417182437. It was assigned on May 19, 2009 and is currently active in the NPPES registry.

What is the specialty of Porter Square Family Dental?

Porter Square Family Dental is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number 22266.

Where does Porter Square Family Dental practice?

The practice location is 14 Upland RD, Cambridge, MA 02140-2712. The office can be reached at 617-547-3934 (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 1417182437 directly on the NPPES registry website.

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