- Practice location
- 339 Squire RD, Suite 150, Revere, MA 02151-4309
- Phone
- 781-286-7510
- 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
- State
- Massachusetts
- Zip
- 02151-4309
- Phone Number
- 781-286-7510
- Fax Number
- 781-286-7513
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentists near Revere, MA
View all Dentists in Revere →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.