Active NPIOrganization

Venusdentalpc

Preferred Provider Organization in Maynard, Massachusetts

NPI Number1619351269
Practice location
63 Great RD Ste 105, Maynard, MA 01754-2097
Fax
—
Last updated
July 14, 2015

Venusdentalpc is a healthcare organization based in Maynard, MA. Venusdentalpc practices in Maynard, MA. The NPI Number for Venusdentalpc is 1619351269 and holds a License No. DN1856317 (MA). The current practice location address for Venusdentalpc is 63 Great RD Ste 105, Maynard, MA 01754-2097 and can be reached out via phone at 978-298-5281.

Provider Profile Details

NPI Number
1619351269
Provider Name
Venusdentalpc
Provider Entity Type
Organization
Address
63 Great RD Ste 105, Maynard, MA 01754-2097
Phone Number
978-298-5281
Primary Taxonomy
Preferred Provider Organization · 305R00000X
Organization Subpart
No
Authorized Official
Azadeh Shahab · Dentistowner · 978-298-5281
Provider Enumeration Date
July 14, 2015
Last Update Date
July 14, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
63 Great RD Ste 105
Maynard, MA 01754-2097
Zip
01754-2097
Phone Number
978-298-5281
Maynard, MA 01754Get directions →

Provider Business Mailing Address Details

Address
63 Great RD Ste 105
Maynard, MA 01754-2097
City
Maynard
State
MA
Zip
01754-2097
Phone Number
978-298-5281

License Information

License Number
DN1856317
License State
MA
Taxonomy
Preferred Provider Organization · 305R00000X · 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 Venusdentalpc?

The NPI number of Venusdentalpc is 1619351269. It was assigned on July 14, 2015 and is currently active in the NPPES registry.

What is the specialty of Venusdentalpc?

Venusdentalpc is registered under the primary taxonomy Preferred Provider Organization (code 305R00000X), licensed in MA under license number DN1856317.

Where does Venusdentalpc practice?

The practice location is 63 Great RD Ste 105, Maynard, MA 01754-2097. The office can be reached at 978-298-5281 (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 1619351269 directly on the NPPES registry website.

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