Active NPIOrganization

Boutselis Family Dental Care PC

Dentist, General Practice in Tewksbury, Massachusetts

NPI Number1457423154
Practice location
381R Main Street, Tewksbury, MA 01876
Fax
978-640-1117
Last updated
August 22, 2020

Boutselis Family Dental Care PC is a healthcare organization based in Tewksbury, MA. Boutselis Family Dental Care PC practices in Tewksbury, MA. The NPI Number for Boutselis Family Dental Care PC is 1457423154 and holds a License No. 18573 (MA). The current practice location address for Boutselis Family Dental Care PC is 381R Main Street, Tewksbury, MA 01876 and can be reached out via phone at 978-640-1114 and via fax at 978-640-1117.

Provider Profile Details

NPI Number
1457423154
Provider Name
Boutselis Family Dental Care PC
Provider Entity Type
Organization
Address
381R Main Street, Tewksbury, MA 01876
Phone Number
978-640-1114
Fax Number
978-640-1117
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Organization Subpart
No
Authorized Official
Dr. George Alexander Boutselis, DMD · Owner President · 978-640-1114
Provider Enumeration Date
November 15, 2006
Last Update Date
August 22, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
381R Main Street
Tewksbury, MA 01876
Zip
01876
Phone Number
978-640-1114
Fax Number
978-640-1117
Tewksbury, MA 01876Get directions →

Provider Business Mailing Address Details

Address
381R Main Street
Tewksbury, MA 01876
City
Tewksbury
State
MA
Zip
01876
Phone Number
978-640-1114
Fax Number
978-640-1117

License Information

License Number (1)
18573
License State (1)
MA
Taxonomy (1)
Dentist, General Practice · 1223G0001X
License Number (2)
11196
License State (2)
MA
Taxonomy (2)
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 Boutselis Family Dental Care PC?

The NPI number of Boutselis Family Dental Care PC is 1457423154. It was assigned on November 15, 2006 and is currently active in the NPPES registry.

What is the specialty of Boutselis Family Dental Care PC?

Boutselis Family Dental Care PC is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number 18573.

Where does Boutselis Family Dental Care PC practice?

The practice location is 381R Main Street, Tewksbury, MA 01876. The office can be reached at 978-640-1114 (phone) or 978-640-1117 (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 1457423154 directly on the NPPES registry website.

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