Active NPIIndividual provider

Dr. Rainier A Urdaneta, DMD

Dentist in Jamaica Plain, Massachusetts

NPI Number1669504403
Practice location
501 Arborway, Jamaica Plain, MA 02130-3663
Fax
—
Last updated
July 8, 2007

Rainier A Urdaneta is a Dentist based in Jamaica Plain, MA. Rainier A Urdaneta practices in Jamaica Plain, MA and has the professional credentials of DMD. The NPI Number for Rainier A Urdaneta is 1669504403 and holds a License No. 19656 (MA). The current practice location address for Rainier A Urdaneta is 501 Arborway, Jamaica Plain, MA 02130-3663 and can be reached out via phone at 617-524-3900.

Provider Profile Details

NPI Number
1669504403
Provider Name
Rainier A Urdaneta
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
501 Arborway, Jamaica Plain, MA 02130-3663
Phone Number
617-524-3900
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
No
Provider Enumeration Date
March 9, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
501 Arborway
Jamaica Plain, MA 02130-3663
Zip
02130-3663
Phone Number
617-524-3900
Jamaica Plain, MA 02130Get directions →

Provider Business Mailing Address Details

Address
25 Prairie Ave
Auburndale, MA 02466-2103
City
Auburndale
State
MA
Zip
02466-2103
Phone Number
617-527-8554

License Information

License Number
19656
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 Dr. Rainier A Urdaneta, DMD?

The NPI number of Dr. Rainier A Urdaneta, DMD is 1669504403. It was assigned on March 9, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Rainier A Urdaneta, DMD?

Dr. Rainier A Urdaneta, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in MA under license number 19656.

Where does Dr. Rainier A Urdaneta, DMD practice?

The practice location is 501 Arborway, Jamaica Plain, MA 02130-3663. The office can be reached at 617-524-3900 (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 1669504403 directly on the NPPES registry website.

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