Active NPIOrganization

Smile Dental Revere LLC

Dentist in Revere, Massachusetts

NPI Number1679209340
Practice location
144 Broadway # 2, Revere, MA 02151-5349
Fax
—
Last updated
July 29, 2022

Smile Dental Revere LLC is a healthcare organization based in Revere, MA. Smile Dental Revere LLC practices in Revere, MA. The NPI Number for Smile Dental Revere LLC is 1679209340. The current practice location address for Smile Dental Revere LLC is 144 Broadway # 2, Revere, MA 02151-5349 and can be reached out via phone at 781-284-2275.

Provider Profile Details

NPI Number
1679209340
Provider Name
Smile Dental Revere LLC
Provider Entity Type
Organization
Address
144 Broadway # 2, Revere, MA 02151-5349
Phone Number
781-284-2275
Primary Taxonomy
Dentist · 122300000X
Organization Subpart
No
Authorized Official
Mrs. Bella Yanovsky · Manager · 781-284-2275
Provider Enumeration Date
July 26, 2022
Last Update Date
July 29, 2022
Certification Date
July 29, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
144 Broadway # 2
Revere, MA 02151-5349
City
Revere
Zip
02151-5349
Phone Number
781-284-2275
Revere, MA 02151Get directions →

Provider Business Mailing Address Details

Address
144 Broadway # 2
Revere, MA 02151-5349
City
Revere
State
MA
Zip
02151-5349
Phone Number
781-284-2275

License Information

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 Smile Dental Revere LLC?

The NPI number of Smile Dental Revere LLC is 1679209340. It was assigned on July 26, 2022 and is currently active in the NPPES registry.

What is the specialty of Smile Dental Revere LLC?

Smile Dental Revere LLC is registered under the primary taxonomy Dentist (code 122300000X).

Where does Smile Dental Revere LLC practice?

The practice location is 144 Broadway # 2, Revere, MA 02151-5349. The office can be reached at 781-284-2275 (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 1679209340 directly on the NPPES registry website.

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