Mattapan Smiles Youth Dentistry, LLC
Dentist, General Practice in Mattapan, Massachusetts
1619065901- Practice location
- 90 River St, Mattapan, MA 02126-2914
- Phone
- 617-698-5437
- Fax
- 617-698-5435
- Last updated
- July 9, 2014
Mattapan Smiles Youth Dentistry, LLC is a healthcare organization based in Mattapan, MA. Mattapan Smiles Youth Dentistry, LLC practices in Mattapan, MA. The NPI Number for Mattapan Smiles Youth Dentistry, LLC is 1619065901. The current practice location address for Mattapan Smiles Youth Dentistry, LLC is 90 River St, Mattapan, MA 02126-2914 and can be reached out via phone at 617-698-5437 and via fax at 617-698-5435.
Provider Profile Details
- NPI Number
- 1619065901
- Provider Name
- Mattapan Smiles Youth Dentistry, LLC
- Provider Entity Type
- Organization
- Address
- 90 River St, Mattapan, MA 02126-2914
- Phone Number
- 617-698-5437
- Fax Number
- 617-698-5435
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Organization Subpart
- No
- Authorized Official
- Mrs. Jenell Stump · Manager, Licensing & Credentialing · 615-750-0343
- Provider Enumeration Date
- October 11, 2006
- Last Update Date
- July 9, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 90 River St
Mattapan, MA 02126-2914 - City
- Mattapan
- State
- Massachusetts
- Zip
- 02126-2914
- Phone Number
- 617-698-5437
- Fax Number
- 617-698-5435
Provider Business Mailing Address Details
- Address
- 16 Arcade Unit 198747
Nashville, TN 37219-1994 - City
- Nashville
- State
- TN
- Zip
- 37219-1994
- Phone Number
- 615-750-0343
- Fax Number
- 615-986-1705
License Information
- Taxonomy
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentist, General Practice providers near Mattapan, MA
View all Dentist, General Practice providers in Mattapan →- Dani StanboulyDentist, General Practice · NPI 1710688932
- Dr. E L Whitworth Jr., DDSDentist, General Practice · NPI 1992836209
- Dr. Heather Mcdade, DMDDentist, General Practice · NPI 1730602509
- Naijie Guan, DMDDentist, General Practice · NPI 1922156652
- Omer A Ahmed, BDSDentist, General Practice · NPI 1568366110
- Randal W Cole, DMDDentist, General Practice · NPI 1306994603
Frequently Asked Questions
What is the NPI number of Mattapan Smiles Youth Dentistry, LLC?
The NPI number of Mattapan Smiles Youth Dentistry, LLC is 1619065901. It was assigned on October 11, 2006 and is currently active in the NPPES registry.
What is the specialty of Mattapan Smiles Youth Dentistry, LLC?
Mattapan Smiles Youth Dentistry, LLC is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X).
Where does Mattapan Smiles Youth Dentistry, LLC practice?
The practice location is 90 River St, Mattapan, MA 02126-2914. The office can be reached at 617-698-5437 (phone) or 617-698-5435 (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 1619065901 directly on the NPPES registry website.