Dr. Alec S Eidelman, DMD
Dentist, General Practice in Cambridge, Massachusetts
1679066245- Practice location
- 1493 Cambridge St, Cambridge, MA 02139-1047
- Phone
- 617-665-3990
- Fax
- —
- Last updated
- March 17, 2020
Alec Saul Eidelman is a Dentist, General Practice based in Cambridge, MA. Alec Saul Eidelman practices in Cambridge, MA and has the professional credentials of DMD. The NPI Number for Alec Saul Eidelman is 1679066245 and holds a License No. DN1858348 (MA). The current practice location address for Alec Saul Eidelman is 1493 Cambridge St, Cambridge, MA 02139-1047 and can be reached out via phone at 617-665-3990.
Provider Profile Details
- NPI Number
- 1679066245
- Provider Name
- Alec Saul Eidelman
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1493 Cambridge St, Cambridge, MA 02139-1047
- Phone Number
- 617-665-3990
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 8, 2018
- Last Update Date
- March 17, 2020
- Certification Date
- March 17, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1493 Cambridge St
Cambridge, MA 02139-1047 - City
- Cambridge
- State
- Massachusetts
- Zip
- 02139-1047
- Phone Number
- 617-665-3990
Provider Business Mailing Address Details
- Address
- 119 Windsor St 2ND Floor
Cambridge, MA 02139-3648 - City
- Cambridge
- State
- MA
- Zip
- 02139-3648
- Phone Number
- 617-665-3990
License Information
- License Number (1)
- DN1858348
- License State (1)
- MA
- Taxonomy (1)
- Dentist, General Practice · 1223G0001X · Primary
- Taxonomy (2)
- Student in an Organized Health Care Education/Training Program · 390200000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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. Alec S Eidelman, DMD?
The NPI number of Dr. Alec S Eidelman, DMD is 1679066245. It was assigned on June 8, 2018 and is currently active in the NPPES registry.
What is the specialty of Dr. Alec S Eidelman, DMD?
Dr. Alec S Eidelman, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number DN1858348.
Where does Dr. Alec S Eidelman, DMD practice?
The practice location is 1493 Cambridge St, Cambridge, MA 02139-1047. The office can be reached at 617-665-3990 (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 1679066245 directly on the NPPES registry website.