Rafael Villacorta Family Dentistry
Dentist, Oral and Maxillofacial Pathology in Waltham, Massachusetts
1700057346- Practice location
- 24 Crescent St, Suite 303, Waltham, MA 02453-4358
- Phone
- 781-891-5637
- Fax
- 781-891-8925
- Last updated
- March 21, 2008
Rafael Villacorta Family Dentistry is a healthcare organization based in Waltham, MA. Rafael Villacorta Family Dentistry practices in Waltham, MA. The NPI Number for Rafael Villacorta Family Dentistry is 1700057346 and holds a License No. 18063 (MA). The current practice location address for Rafael Villacorta Family Dentistry is 24 Crescent St, Suite 303, Waltham, MA 02453-4358 and can be reached out via phone at 781-891-5637 and via fax at 781-891-8925.
Provider Profile Details
- NPI Number
- 1700057346
- Provider Name
- Rafael Villacorta Family Dentistry
- Provider Entity Type
- Organization
- Address
- 24 Crescent St, Suite 303, Waltham, MA 02453-4358
- Phone Number
- 781-891-5637
- Fax Number
- 781-891-8925
- Primary Taxonomy
- Dentist, Oral and Maxillofacial Pathology · 1223P0106X
- Organization Subpart
- No
- Authorized Official
- Dr. Rafael E Villacorta, DMD · President · 781-891-5637
- Provider Enumeration Date
- March 21, 2008
- Last Update Date
- March 21, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 24 Crescent St
Suite 303
Waltham, MA 02453-4358 - City
- Waltham
- State
- Massachusetts
- Zip
- 02453-4358
- Phone Number
- 781-891-5637
- Fax Number
- 781-891-8925
Provider Business Mailing Address Details
- Address
- 24 Crescent St
Suite 303
Waltham, MA 02453-4358 - City
- Waltham
- State
- MA
- Zip
- 02453-4358
- Phone Number
- 781-891-5637
- Fax Number
- 781-891-8925
License Information
- License Number
- 18063
- License State
- MA
- Taxonomy
- Dentist, Oral and Maxillofacial Pathology · 1223P0106X · Primary
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 Rafael Villacorta Family Dentistry?
The NPI number of Rafael Villacorta Family Dentistry is 1700057346. It was assigned on March 21, 2008 and is currently active in the NPPES registry.
What is the specialty of Rafael Villacorta Family Dentistry?
Rafael Villacorta Family Dentistry is registered under the primary taxonomy Dentist, Oral and Maxillofacial Pathology (code 1223P0106X), licensed in MA under license number 18063.
Where does Rafael Villacorta Family Dentistry practice?
The practice location is 24 Crescent St, Suite 303, Waltham, MA 02453-4358. The office can be reached at 781-891-5637 (phone) or 781-891-8925 (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 1700057346 directly on the NPPES registry website.