Dr. Ekaterina Mamulashvilli, MD
Dentist in Everett, Massachusetts
1548305378- Practice location
- 459 Broadway, Everett, MA 02149-3614
- Phone
- 617-389-2005
- Fax
- 617-389-1007
- Last updated
- July 8, 2007
Ekaterina Mamulashvilli is a Dentist based in Everett, MA. Ekaterina Mamulashvilli practices in Everett, MA and has the professional credentials of MD. The NPI Number for Ekaterina Mamulashvilli is 1548305378 and holds a License No. 21211 (MA). The current practice location address for Ekaterina Mamulashvilli is 459 Broadway, Everett, MA 02149-3614 and can be reached out via phone at 617-389-2005 and via fax at 617-389-1007.
Provider Profile Details
- NPI Number
- 1548305378
- Provider Name
- Ekaterina Mamulashvilli
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 459 Broadway, Everett, MA 02149-3614
- Phone Number
- 617-389-2005
- Fax Number
- 617-389-1007
- Primary Taxonomy
- Dentist · 122300000X
- Sole Proprietor
- No
- Provider Enumeration Date
- February 20, 2007
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 459 Broadway
Everett, MA 02149-3614 - City
- Everett
- State
- Massachusetts
- Zip
- 02149-3614
- Phone Number
- 617-389-2005
- Fax Number
- 617-389-1007
Provider Business Mailing Address Details
- Address
- 459 Broadway
Everett, MA 02149-3614 - City
- Everett
- State
- MA
- Zip
- 02149-3614
- Phone Number
- 617-389-2005
- Fax Number
- 617-389-1007
License Information
- License Number
- 21211
- 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 Everett, MA
View all Dentists in Everett →Frequently Asked Questions
What is the NPI number of Dr. Ekaterina Mamulashvilli, MD?
The NPI number of Dr. Ekaterina Mamulashvilli, MD is 1548305378. It was assigned on February 20, 2007 and is currently active in the NPPES registry.
What is the specialty of Dr. Ekaterina Mamulashvilli, MD?
Dr. Ekaterina Mamulashvilli, MD is registered under the primary taxonomy Dentist (code 122300000X), licensed in MA under license number 21211.
Where does Dr. Ekaterina Mamulashvilli, MD practice?
The practice location is 459 Broadway, Everett, MA 02149-3614. The office can be reached at 617-389-2005 (phone) or 617-389-1007 (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 1548305378 directly on the NPPES registry website.