- Practice location
- 0 Governors Ave Ste 1, Medford, MA 02155-3035
- Phone
- 781-395-5629
- Fax
- —
- Last updated
- June 6, 2019
Grace Jotika DMD PC is a healthcare organization based in Medford, MA. Grace Jotika DMD PC practices in Medford, MA. The NPI Number for Grace Jotika DMD PC is 1558920298. The current practice location address for Grace Jotika DMD PC is 0 Governors Ave Ste 1, Medford, MA 02155-3035 and can be reached out via phone at 781-395-5629.
Provider Profile Details
- NPI Number
- 1558920298
- Provider Name
- Grace Jotika DMD PC
- Provider Entity Type
- Organization
- Address
- 0 Governors Ave Ste 1, Medford, MA 02155-3035
- Phone Number
- 781-395-5629
- Primary Taxonomy
- Dentist · 122300000X
- Organization Subpart
- No
- Authorized Official
- Dr. Aupaiporn Grace Jotikabhukkana, DMD · Owner · 617-304-5019
- Provider Enumeration Date
- June 6, 2019
- Last Update Date
- June 6, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 0 Governors Ave Ste 1
Medford, MA 02155-3035 - City
- Medford
- State
- Massachusetts
- Zip
- 02155-3035
- Phone Number
- 781-395-5629
Provider Business Mailing Address Details
- Address
- 0 Governors Ave Ste 1
Medford, MA 02155-3035 - City
- Medford
- State
- MA
- Zip
- 02155-3035
License Information
- 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 Medford, MA
View all Dentists in Medford →Frequently Asked Questions
What is the NPI number of Grace Jotika DMD PC?
The NPI number of Grace Jotika DMD PC is 1558920298. It was assigned on June 6, 2019 and is currently active in the NPPES registry.
What is the specialty of Grace Jotika DMD PC?
Grace Jotika DMD PC is registered under the primary taxonomy Dentist (code 122300000X).
Where does Grace Jotika DMD PC practice?
The practice location is 0 Governors Ave Ste 1, Medford, MA 02155-3035. The office can be reached at 781-395-5629 (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 1558920298 directly on the NPPES registry website.