Active NPIIndividual provider

Jyoti Mishra, DMD

Dentist in Brocktom, Massachusetts

NPI Number1619909074
Practice location
200 West Gate Drive, United Suite 135, Brocktom, MA 02301
Fax
—
Last updated
July 8, 2007

Jyoti Mishra is a Dentist based in Brocktom, MA. Jyoti Mishra practices in Brocktom, MA and has the professional credentials of DMD. The NPI Number for Jyoti Mishra is 1619909074 and holds a License No. 20590 (MA). The current practice location address for Jyoti Mishra is 200 West Gate Drive, United Suite 135, Brocktom, MA 02301 and can be reached out via phone at 508-583-3840.

Provider Profile Details

NPI Number
1619909074
Provider Name
Jyoti Mishra
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
200 West Gate Drive, United Suite 135, Brocktom, MA 02301
Phone Number
508-583-3840
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
No
Provider Enumeration Date
July 7, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
200 West Gate Drive
United Suite 135
Brocktom, MA 02301
Zip
02301
Phone Number
508-583-3840
Brocktom, MA 02301Get directions →

Provider Business Mailing Address Details

Address
45 Butts Street
Newton, MA 02464
City
Newton
State
MA
Zip
02464
Phone Number
617-332-3950

License Information

License Number
20590
License State
MA
Taxonomy
Dentist · 122300000X · 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 Jyoti Mishra, DMD?

The NPI number of Jyoti Mishra, DMD is 1619909074. It was assigned on July 7, 2006 and is currently active in the NPPES registry.

What is the specialty of Jyoti Mishra, DMD?

Jyoti Mishra, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in MA under license number 20590.

Where does Jyoti Mishra, DMD practice?

The practice location is 200 West Gate Drive, United Suite 135, Brocktom, MA 02301. The office can be reached at 508-583-3840 (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 1619909074 directly on the NPPES registry website.

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