Dr. John L Gentuso, DMD
Dentist, General Practice in Medford, Massachusetts
1497705909- Practice location
- 0 Governors Ave, Suite 1, Medford, MA 02155-3025
- Phone
- 781-395-5629
- Fax
- 781-395-5863
- Last updated
- July 11, 2007
John L. Gentuso is a Dentist, General Practice based in Medford, MA. John L. Gentuso practices in Medford, MA and has the professional credentials of DMD. The NPI Number for John L. Gentuso is 1497705909 and holds a License No. 15627 (MA). The current practice location address for John L. Gentuso is 0 Governors Ave, Suite 1, Medford, MA 02155-3025 and can be reached out via phone at 781-395-5629 and via fax at 781-395-5863.
Provider Profile Details
- NPI Number
- 1497705909
- Provider Name
- John L. Gentuso
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 0 Governors Ave, Suite 1, Medford, MA 02155-3025
- Phone Number
- 781-395-5629
- Fax Number
- 781-395-5863
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- May 12, 2006
- Last Update Date
- July 11, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 0 Governors Ave
Suite 1
Medford, MA 02155-3025 - City
- Medford
- State
- Massachusetts
- Zip
- 02155-3025
- Phone Number
- 781-395-5629
- Fax Number
- 781-395-5863
Provider Business Mailing Address Details
- Address
- 0 Governors Ave
Suite 1
Medford, MA 02155-3025 - City
- Medford
- State
- MA
- Zip
- 02155-3025
- Phone Number
- 781-395-5629
- Fax Number
- 781-395-5863
License Information
- License Number
- 15627
- License State
- MA
- Taxonomy
- Dentist, General Practice · 1223G0001X · 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 Dr. John L Gentuso, DMD?
The NPI number of Dr. John L Gentuso, DMD is 1497705909. It was assigned on May 12, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. John L Gentuso, DMD?
Dr. John L Gentuso, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number 15627.
Where does Dr. John L Gentuso, DMD practice?
The practice location is 0 Governors Ave, Suite 1, Medford, MA 02155-3025. The office can be reached at 781-395-5629 (phone) or 781-395-5863 (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 1497705909 directly on the NPPES registry website.