Active NPIIndividual provider

Andreina Jose Moreno Velasquez

Dentist in Waltham, Massachusetts

NPI Number1629963699
Practice location
21 Prospect Hill Ave Unit 2, Waltham, MA 02451-3637
Fax
—
Last updated
June 10, 2025

Andreina Jose Moreno Velasquez is a Dentist based in Waltham, MA. Andreina Jose Moreno Velasquez practices in Waltham, MA. The NPI Number for Andreina Jose Moreno Velasquez is 1629963699 and holds a License No. DL100756 (MA). The current practice location address for Andreina Jose Moreno Velasquez is 21 Prospect Hill Ave Unit 2, Waltham, MA 02451-3637 and can be reached out via phone at 857-250-6824.

Provider Profile Details

NPI Number
1629963699
Provider Name
Andreina Jose Moreno Velasquez
Provider Entity Type
Individual
Gender
Female
Address
21 Prospect Hill Ave Unit 2, Waltham, MA 02451-3637
Phone Number
857-250-6824
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
No
Provider Enumeration Date
June 10, 2025
Last Update Date
June 10, 2025
Certification Date
June 10, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
21 Prospect Hill Ave Unit 2
Waltham, MA 02451-3637
Zip
02451-3637
Phone Number
857-250-6824
Waltham, MA 02451Get directions →

Provider Business Mailing Address Details

Address
21 Prospect Hill Ave Unit 2
Waltham, MA 02451-3637
City
Waltham
State
MA
Zip
02451-3637
Phone Number
857-250-6824

License Information

License Number
DL100756
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 Andreina Jose Moreno Velasquez?

The NPI number of Andreina Jose Moreno Velasquez is 1629963699. It was assigned on June 10, 2025 and is currently active in the NPPES registry.

What is the specialty of Andreina Jose Moreno Velasquez?

Andreina Jose Moreno Velasquez is registered under the primary taxonomy Dentist (code 122300000X), licensed in MA under license number DL100756.

Where does Andreina Jose Moreno Velasquez practice?

The practice location is 21 Prospect Hill Ave Unit 2, Waltham, MA 02451-3637. The office can be reached at 857-250-6824 (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 1629963699 directly on the NPPES registry website.

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