Active NPIOrganization

John T. Tieu D.m.d, P.c.

Dentist, General Practice in Dorchester, Massachusetts

NPI Number1588865349
Practice location
101 Allstate RD, Suite 107, Dorchester, MA 02125-1641
Fax
—
Last updated
August 22, 2020

John T. Tieu D.m.d, P.c. is a healthcare organization based in Dorchester, MA. John T. Tieu D.m.d, P.c. practices in Dorchester, MA. The NPI Number for John T. Tieu D.m.d, P.c. is 1588865349 and holds a License No. 20059 (MA). The current practice location address for John T. Tieu D.m.d, P.c. is 101 Allstate RD, Suite 107, Dorchester, MA 02125-1641 and can be reached out via phone at 617-442-2535.

Provider Profile Details

NPI Number
1588865349
Provider Name
John T. Tieu D.m.d, P.c.
Provider Entity Type
Organization
Address
101 Allstate RD, Suite 107, Dorchester, MA 02125-1641
Phone Number
617-442-2535
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Organization Subpart
No
Authorized Official
Dr. John T Tieu, DMD · Dentist · 617-442-2535
Other Names
Smile Group Dental (Doing Business As)
Provider Enumeration Date
May 30, 2007
Last Update Date
August 22, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
101 Allstate RD
Suite 107
Dorchester, MA 02125-1641
Zip
02125-1641
Phone Number
617-442-2535
Dorchester, MA 02125Get directions →

Provider Business Mailing Address Details

Address
101 Allstate RD
Suite 107
Dorchester, MA 02125-1641
City
Dorchester
State
MA
Zip
02125-1641
Phone Number
617-442-2535

License Information

License Number
20059
License State
MA
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 John T. Tieu D.m.d, P.c.?

The NPI number of John T. Tieu D.m.d, P.c. is 1588865349. It was assigned on May 30, 2007 and is currently active in the NPPES registry.

What is the specialty of John T. Tieu D.m.d, P.c.?

John T. Tieu D.m.d, P.c. is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number 20059.

Where does John T. Tieu D.m.d, P.c. practice?

The practice location is 101 Allstate RD, Suite 107, Dorchester, MA 02125-1641. The office can be reached at 617-442-2535 (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 1588865349 directly on the NPPES registry website.

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