Luminous Dental LLC
Clinic/Center, Dental in Watertown, Massachusetts
1487118188- Practice location
- 63 Mount Auburn St, Watertown, MA 02472-3924
- Phone
- 617-923-8159
- Fax
- —
- Last updated
- December 17, 2019
Luminous Dental LLC is a healthcare organization based in Watertown, MA. Luminous Dental LLC practices in Watertown, MA. The NPI Number for Luminous Dental LLC is 1487118188. The current practice location address for Luminous Dental LLC is 63 Mount Auburn St, Watertown, MA 02472-3924 and can be reached out via phone at 617-923-8159.
Provider Profile Details
- NPI Number
- 1487118188
- Provider Name
- Luminous Dental LLC
- Provider Entity Type
- Organization
- Address
- 63 Mount Auburn St, Watertown, MA 02472-3924
- Phone Number
- 617-923-8159
- Primary Taxonomy
- Clinic/Center, Dental · 261QD0000X
- Organization Subpart
- No
- Authorized Official
- Dr. Shari Mathew, DDS · Dentist · 781-640-9810
- Provider Enumeration Date
- January 27, 2019
- Last Update Date
- December 17, 2019
- Certification Date
- December 17, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 63 Mount Auburn St
Watertown, MA 02472-3924 - City
- Watertown
- State
- Massachusetts
- Zip
- 02472-3924
- Phone Number
- 617-923-8159
Provider Business Mailing Address Details
- Address
- 63 Mount Auburn St
Watertown, MA 02472-3924 - City
- Watertown
- State
- MA
- Zip
- 02472-3924
- Phone Number
- 617-923-8159
License Information
- 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 Luminous Dental LLC?
The NPI number of Luminous Dental LLC is 1487118188. It was assigned on January 27, 2019 and is currently active in the NPPES registry.
What is the specialty of Luminous Dental LLC?
Luminous Dental LLC is registered under the primary taxonomy Clinic/Center, Dental (code 261QD0000X).
Where does Luminous Dental LLC practice?
The practice location is 63 Mount Auburn St, Watertown, MA 02472-3924. The office can be reached at 617-923-8159 (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 1487118188 directly on the NPPES registry website.