Active NPIOrganization

Dr.dental Of Revere, P.c.

Dentist in Revere, Massachusetts

NPI Number1518235365
Practice location
339 Squire RD, Suite 150, Revere, MA 02151-4309
Fax
781-286-7513
Last updated
December 8, 2011

Dr.dental Of Revere, P.c. is a healthcare organization based in Revere, MA. Dr.dental Of Revere, P.c. practices in Revere, MA. The NPI Number for Dr.dental Of Revere, P.c. is 1518235365 and holds a License No. DN20485 (MA). The current practice location address for Dr.dental Of Revere, P.c. is 339 Squire RD, Suite 150, Revere, MA 02151-4309 and can be reached out via phone at 781-286-7510 and via fax at 781-286-7513.

Provider Profile Details

NPI Number
1518235365
Provider Name
Dr.dental Of Revere, P.c.
Provider Entity Type
Organization
Address
339 Squire RD, Suite 150, Revere, MA 02151-4309
Phone Number
781-286-7510
Fax Number
781-286-7513
Primary Taxonomy
Dentist · 122300000X
Organization Subpart
No
Authorized Official
Ms. Renee P Mckain · Manager · 781-420-9920
Provider Enumeration Date
December 8, 2011
Last Update Date
December 8, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
339 Squire RD
Suite 150
Revere, MA 02151-4309
City
Revere
Zip
02151-4309
Phone Number
781-286-7510
Fax Number
781-286-7513
Revere, MA 02151Get directions →

Provider Business Mailing Address Details

Address
339 Squire RD
Suite 150
Revere, MA 02151-4309
City
Revere
State
MA
Zip
02151-4309
Phone Number
781-286-7510
Fax Number
781-286-7513

License Information

License Number
DN20485
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.dental Of Revere, P.c.?

The NPI number of Dr.dental Of Revere, P.c. is 1518235365. It was assigned on December 8, 2011 and is currently active in the NPPES registry.

What is the specialty of Dr.dental Of Revere, P.c.?

Dr.dental Of Revere, P.c. is registered under the primary taxonomy Dentist (code 122300000X), licensed in MA under license number DN20485.

Where does Dr.dental Of Revere, P.c. practice?

The practice location is 339 Squire RD, Suite 150, Revere, MA 02151-4309. The office can be reached at 781-286-7510 (phone) or 781-286-7513 (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 1518235365 directly on the NPPES registry website.

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