Active NPIOrganization

South Shore Periodontics LLP

Dentist, Periodontics in Hingham, Massachusetts

NPI Number1669566519
Practice location
175 Derby Street, Suite #11, Hingham, MA 02043
Fax
781-749-4487
Last updated
August 22, 2020

South Shore Periodontics LLP is a healthcare organization based in Hingham, MA. South Shore Periodontics LLP practices in Hingham, MA. The NPI Number for South Shore Periodontics LLP is 1669566519 and holds a License No. 19645 (MA). The current practice location address for South Shore Periodontics LLP is 175 Derby Street, Suite #11, Hingham, MA 02043 and can be reached out via phone at 781-749-9444 and via fax at 781-749-4487.

Provider Profile Details

NPI Number
1669566519
Provider Name
South Shore Periodontics LLP
Provider Entity Type
Organization
Address
175 Derby Street, Suite #11, Hingham, MA 02043
Phone Number
781-749-9444
Fax Number
781-749-4487
Primary Taxonomy
Dentist, Periodontics · 1223P0300X
Organization Subpart
No
Authorized Official
Dr. James T Ubertalli, DMD · Owner Partner · 781-749-9444
Provider Enumeration Date
October 3, 2006
Last Update Date
August 22, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
175 Derby Street
Suite #11
Hingham, MA 02043
Zip
02043
Phone Number
781-749-9444
Fax Number
781-749-4487
Hingham, MA 02043Get directions →

Provider Business Mailing Address Details

Address
175 Derby Street
Suite #11
Hingham, MA 02043
City
Hingham
State
MA
Zip
02043
Phone Number
781-749-9444
Fax Number
781-749-4487

License Information

License Number (1)
19645
License State (1)
MA
Taxonomy (1)
Dentist, Periodontics · 1223P0300X
License Number (2)
18143
License State (2)
MA
Taxonomy (2)
Dentist, Periodontics · 1223P0300X · 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 South Shore Periodontics LLP?

The NPI number of South Shore Periodontics LLP is 1669566519. It was assigned on October 3, 2006 and is currently active in the NPPES registry.

What is the specialty of South Shore Periodontics LLP?

South Shore Periodontics LLP is registered under the primary taxonomy Dentist, Periodontics (code 1223P0300X), licensed in MA under license number 19645.

Where does South Shore Periodontics LLP practice?

The practice location is 175 Derby Street, Suite #11, Hingham, MA 02043. The office can be reached at 781-749-9444 (phone) or 781-749-4487 (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 1669566519 directly on the NPPES registry website.

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