Active NPIOrganization

Sobodental PLLC

Dentist, General Practice in South Boston, Massachusetts

NPI Number1578389938
Practice location
590 E Broadway Ste 1, South Boston, MA 02127-4479
Fax
—
Last updated
December 2, 2024

Sobodental PLLC is a healthcare organization based in South Boston, MA. Sobodental PLLC practices in South Boston, MA. The NPI Number for Sobodental PLLC is 1578389938. The current practice location address for Sobodental PLLC is 590 E Broadway Ste 1, South Boston, MA 02127-4479 and can be reached out via phone at 617-268-1015.

Provider Profile Details

NPI Number
1578389938
Provider Name
Sobodental PLLC
Provider Entity Type
Organization
Address
590 E Broadway Ste 1, South Boston, MA 02127-4479
Phone Number
617-268-1015
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Organization Subpart
No
Authorized Official
Chad Hendricks · Credentialing · 612-859-0444
Provider Enumeration Date
December 2, 2024
Last Update Date
December 2, 2024
Certification Date
December 1, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
590 E Broadway Ste 1
South Boston, MA 02127-4479
Zip
02127-4479
Phone Number
617-268-1015
South Boston, MA 02127Get directions →

Provider Business Mailing Address Details

Address
590 E Broadway Ste 1
South Boston, MA 02127-4479
City
South Boston
State
MA
Zip
02127-4479
Phone Number
617-268-1015

License Information

Taxonomy
Dentist, General Practice · 1223G0001X · 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 Sobodental PLLC?

The NPI number of Sobodental PLLC is 1578389938. It was assigned on December 2, 2024 and is currently active in the NPPES registry.

What is the specialty of Sobodental PLLC?

Sobodental PLLC is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X).

Where does Sobodental PLLC practice?

The practice location is 590 E Broadway Ste 1, South Boston, MA 02127-4479. The office can be reached at 617-268-1015 (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 1578389938 directly on the NPPES registry website.

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