Active NPIIndividual providerSole proprietor

Dr. Alexandra Bravoco, DMD

Dentist in Salem, Massachusetts

NPI Number1497016851
Practice location
100 Highland Ave Ste 103, Salem, MA 01970-2702
Fax
—
Last updated
October 23, 2017

Alexandra Bravoco is a Dentist based in Salem, MA. Alexandra Bravoco practices in Salem, MA and has the professional credentials of DMD. The NPI Number for Alexandra Bravoco is 1497016851 and holds a License No. DN1855942 (MA). The current practice location address for Alexandra Bravoco is 100 Highland Ave Ste 103, Salem, MA 01970-2702 and can be reached out via phone at 978-740-5135.

Provider Profile Details

NPI Number
1497016851
Provider Name
Alexandra Bravoco
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
100 Highland Ave Ste 103, Salem, MA 01970-2702
Phone Number
978-740-5135
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
Yes
Provider Enumeration Date
June 1, 2012
Last Update Date
October 23, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
100 Highland Ave Ste 103
Salem, MA 01970-2702
City
Salem
Zip
01970-2702
Phone Number
978-740-5135
Salem, MA 01970Get directions →

Provider Business Mailing Address Details

Address
123 London St
Boston, MA 02128-3035
City
Boston
State
MA
Zip
02128-3035
Phone Number
617-567-3537

License Information

License Number
DN1855942
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. Alexandra Bravoco, DMD?

The NPI number of Dr. Alexandra Bravoco, DMD is 1497016851. It was assigned on June 1, 2012 and is currently active in the NPPES registry.

What is the specialty of Dr. Alexandra Bravoco, DMD?

Dr. Alexandra Bravoco, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in MA under license number DN1855942.

Where does Dr. Alexandra Bravoco, DMD practice?

The practice location is 100 Highland Ave Ste 103, Salem, MA 01970-2702. The office can be reached at 978-740-5135 (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 1497016851 directly on the NPPES registry website.

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