Convivial Dental PC
Clinic/Center, Dental in Chestnut Hill, Massachusetts
1689007908- Practice location
- 1244 Boylston St Ste 205, Chestnut Hill, MA 02467-2115
- Phone
- 617-818-0573
- Fax
- —
- Last updated
- August 11, 2013
Convivial Dental PC is a healthcare organization based in Chestnut Hill, MA. Convivial Dental PC practices in Chestnut Hill, MA. The NPI Number for Convivial Dental PC is 1689007908 and holds a License No. DN1855922 (MA). The current practice location address for Convivial Dental PC is 1244 Boylston St Ste 205, Chestnut Hill, MA 02467-2115 and can be reached out via phone at 617-818-0573.
Provider Profile Details
- NPI Number
- 1689007908
- Provider Name
- Convivial Dental PC
- Provider Entity Type
- Organization
- Address
- 1244 Boylston St Ste 205, Chestnut Hill, MA 02467-2115
- Phone Number
- 617-818-0573
- Primary Taxonomy
- Clinic/Center, Dental · 261QD0000X
- Organization Subpart
- No
- Authorized Official
- Dr. Athanasios Zavras, DDS, MS, DMSC · President · 617-818-0573
- Provider Enumeration Date
- August 11, 2013
- Last Update Date
- August 11, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1244 Boylston St Ste 205
Chestnut Hill, MA 02467-2115 - City
- Chestnut Hill
- State
- Massachusetts
- Zip
- 02467-2115
- Phone Number
- 617-818-0573
Provider Business Mailing Address Details
- Address
- 64 Pine St
Dover, MA 02030-2426 - City
- Dover
- State
- MA
- Zip
- 02030-2426
License Information
- License Number (1)
- DN1855922
- License State (1)
- MA
- Taxonomy (1)
- Clinic/Center, Multi-Specialty · 261QM1300X
- License Number (2)
- DN1855922
- License State (2)
- MA
- Taxonomy (2)
- Clinic/Center, Dental · 261QD0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Clinic/Center, Dental providers near Chestnut Hill, MA
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- Elizabeth A KellyRegistered Nurse · NPI 1447190962
- Denisa HoxhaSocial Worker · NPI 1538854351
- Dr. Camellia L Hernandez, MDAllergy & Immunology · NPI 1518229855
- Charissa ZhuSocial Worker · NPI 1477450575
Frequently Asked Questions
What is the NPI number of Convivial Dental PC?
The NPI number of Convivial Dental PC is 1689007908. It was assigned on August 11, 2013 and is currently active in the NPPES registry.
What is the specialty of Convivial Dental PC?
Convivial Dental PC is registered under the primary taxonomy Clinic/Center, Dental (code 261QD0000X), licensed in MA under license number DN1855922.
Where does Convivial Dental PC practice?
The practice location is 1244 Boylston St Ste 205, Chestnut Hill, MA 02467-2115. The office can be reached at 617-818-0573 (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 1689007908 directly on the NPPES registry website.