Active NPIIndividual provider

Gladys G Carrasco Roman

Dentist, Pediatric Dentistry in Chelsea, Massachusetts

NPI Number1518468099
Practice location
180 Walnut Street, Chelsea, MA 02150
Fax
—
Last updated
February 22, 2022

Gladys G. Carrasco Roman is a Dentist, Pediatric Dentistry based in Chelsea, MA. Gladys G. Carrasco Roman practices in Chelsea, MA. The NPI Number for Gladys G. Carrasco Roman is 1518468099 and holds a License No. DF11267 (MA). The current practice location address for Gladys G. Carrasco Roman is 180 Walnut Street, Chelsea, MA 02150 and can be reached out via phone at 617-889-2864.

Provider Profile Details

NPI Number
1518468099
Provider Name
Gladys G. Carrasco Roman
Provider Entity Type
Individual
Gender
Female
Address
180 Walnut Street, Chelsea, MA 02150
Phone Number
617-889-2864
Primary Taxonomy
Dentist, Pediatric Dentistry · 1223P0221X
Sole Proprietor
No
Provider Enumeration Date
February 21, 2018
Last Update Date
February 22, 2022
Certification Date
February 22, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
180 Walnut Street
Chelsea, MA 02150
Zip
02150
Phone Number
617-889-2864
Chelsea, MA 02150Get directions →

Provider Business Mailing Address Details

Address
2 Inwood Dr Apt 1005
Woburn, MA 01801-5279
City
Woburn
State
MA
Zip
01801-5279
Phone Number
617-270-1405

License Information

License Number (1)
DF11267
License State (1)
MA
Taxonomy (1)
Dentist · 122300000X
License Number (2)
016.0133993
License State (2)
VT
Taxonomy (2)
Dentist, Pediatric Dentistry · 1223P0221X · 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 Gladys G Carrasco Roman?

The NPI number of Gladys G Carrasco Roman is 1518468099. It was assigned on February 21, 2018 and is currently active in the NPPES registry.

What is the specialty of Gladys G Carrasco Roman?

Gladys G Carrasco Roman is registered under the primary taxonomy Dentist, Pediatric Dentistry (code 1223P0221X), licensed in MA under license number DF11267.

Where does Gladys G Carrasco Roman practice?

The practice location is 180 Walnut Street, Chelsea, MA 02150. The office can be reached at 617-889-2864 (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 1518468099 directly on the NPPES registry website.

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