Active NPIIndividual providerSole proprietor

Dr. Jennifer A Eitutis, DMD

Dentist in Cambridge, Massachusetts

NPI Number1679868756
Practice location
20 Hurley St, Cambridge, MA 02141-2111
Fax
—
Last updated
June 16, 2011

Jennifer Ashley Eitutis is a Dentist based in Cambridge, MA. Jennifer Ashley Eitutis practices in Cambridge, MA and has the professional credentials of DMD. The NPI Number for Jennifer Ashley Eitutis is 1679868756 and holds a License No. DN1855733 (MA). The current practice location address for Jennifer Ashley Eitutis is 20 Hurley St, Cambridge, MA 02141-2111 and can be reached out via phone at 617-491-1403.

Provider Profile Details

NPI Number
1679868756
Provider Name
Jennifer Ashley Eitutis
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
20 Hurley St, Cambridge, MA 02141-2111
Phone Number
617-491-1403
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
Yes
Provider Enumeration Date
June 16, 2011
Last Update Date
June 16, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
20 Hurley St
Cambridge, MA 02141-2111
Zip
02141-2111
Phone Number
617-491-1403
Cambridge, MA 02141Get directions →

Provider Business Mailing Address Details

Address
20 Hurley St
Cambridge, MA 02141-2111
City
Cambridge
State
MA
Zip
02141-2111

License Information

License Number
DN1855733
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. Jennifer A Eitutis, DMD?

The NPI number of Dr. Jennifer A Eitutis, DMD is 1679868756. It was assigned on June 16, 2011 and is currently active in the NPPES registry.

What is the specialty of Dr. Jennifer A Eitutis, DMD?

Dr. Jennifer A Eitutis, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in MA under license number DN1855733.

Where does Dr. Jennifer A Eitutis, DMD practice?

The practice location is 20 Hurley St, Cambridge, MA 02141-2111. The office can be reached at 617-491-1403 (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 1679868756 directly on the NPPES registry website.

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