Mystic Valley Orthodontics
Dentist, Orthodontics and Dentofacial Orthopedics in Medford, Massachusetts
1679744668- Practice location
- 80 High St, Suite 2, Medford, MA 02155-3872
- Phone
- 781-396-9230
- Fax
- 781-391-6090
- Last updated
- March 18, 2008
Mystic Valley Orthodontics is a healthcare organization based in Medford, MA. Mystic Valley Orthodontics practices in Medford, MA. The NPI Number for Mystic Valley Orthodontics is 1679744668 and holds a License No. 19234 (MA). The current practice location address for Mystic Valley Orthodontics is 80 High St, Suite 2, Medford, MA 02155-3872 and can be reached out via phone at 781-396-9230 and via fax at 781-391-6090.
Provider Profile Details
- NPI Number
- 1679744668
- Provider Name
- Mystic Valley Orthodontics
- Provider Entity Type
- Organization
- Address
- 80 High St, Suite 2, Medford, MA 02155-3872
- Phone Number
- 781-396-9230
- Fax Number
- 781-391-6090
- Primary Taxonomy
- Dentist, Orthodontics and Dentofacial Orthopedics · 1223X0400X
- Organization Subpart
- No
- Authorized Official
- Dr. Joy Elizabeth Kasparian-Federico, DMD · Na · 781-396-9230
- Provider Enumeration Date
- March 18, 2008
- Last Update Date
- March 18, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 80 High St
Suite 2
Medford, MA 02155-3872 - City
- Medford
- State
- Massachusetts
- Zip
- 02155-3872
- Phone Number
- 781-396-9230
- Fax Number
- 781-391-6090
Provider Business Mailing Address Details
- Address
- 80 High St
Suite 2
Medford, MA 02155-3872 - City
- Medford
- State
- MA
- Zip
- 02155-3872
License Information
- License Number
- 19234
- License State
- MA
- Taxonomy
- Dentist, Orthodontics and Dentofacial Orthopedics · 1223X0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentist, Orthodontics and Dentofacial Orthopedics providers near Medford, MA
View all Dentist, Orthodontics and Dentofacial Orthopedics providers in Medford →- Dr. Eric R Gheewalla, DMDDentist, Orthodontics and Dentofacial Orthopedics · NPI 1194721795
- Dr. Joy E Kasparian Federico, DMDDentist, Orthodontics and Dentofacial Orthopedics · NPI 1235259417
- Tess Marano, MA EDS LEP NCSPPsychologist, Clinical · NPI 1326948449
- New England Sound LLCHearing Aid Equipment · NPI 1104378769
- Jadynne HillCounselor, Mental Health · NPI 1447159173
- Mrs. Raedjio Naro, MSN-FNPNurse Practitioner, Family · NPI 1518657469
Frequently Asked Questions
What is the NPI number of Mystic Valley Orthodontics?
The NPI number of Mystic Valley Orthodontics is 1679744668. It was assigned on March 18, 2008 and is currently active in the NPPES registry.
What is the specialty of Mystic Valley Orthodontics?
Mystic Valley Orthodontics is registered under the primary taxonomy Dentist, Orthodontics and Dentofacial Orthopedics (code 1223X0400X), licensed in MA under license number 19234.
Where does Mystic Valley Orthodontics practice?
The practice location is 80 High St, Suite 2, Medford, MA 02155-3872. The office can be reached at 781-396-9230 (phone) or 781-391-6090 (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 1679744668 directly on the NPPES registry website.