Active NPIIndividual provider

Dr. Peter A Jezewski, DDS PHD

Dentist, Periodontics in Chelsea, Massachusetts

NPI Number1730102088
Practice location
100 Everett Ave, Unit 5, Chelsea, MA 02150
Fax
617-884-4448
Last updated
July 8, 2007

Peter Alan Jezewski is a Dentist, Periodontics based in Chelsea, MA. Peter Alan Jezewski practices in Chelsea, MA and has the professional credentials of DDS PHD. The NPI Number for Peter Alan Jezewski is 1730102088 and holds a License No. 21238 (MA). The current practice location address for Peter Alan Jezewski is 100 Everett Ave, Unit 5, Chelsea, MA 02150 and can be reached out via phone at 617-884-4444 and via fax at 617-884-4448.

Provider Profile Details

NPI Number
1730102088
Provider Name
Peter Alan Jezewski
Credential
DDS PHD
Provider Entity Type
Individual
Gender
Male
Address
100 Everett Ave, Unit 5, Chelsea, MA 02150
Phone Number
617-884-4444
Fax Number
617-884-4448
Primary Taxonomy
Dentist, Periodontics · 1223P0300X
Sole Proprietor
No
Provider Enumeration Date
July 26, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
100 Everett Ave
Unit 5
Chelsea, MA 02150
Zip
02150
Phone Number
617-884-4444
Fax Number
617-884-4448
Chelsea, MA 02150Get directions →

Provider Business Mailing Address Details

Address
140 The Fenway
The Forsyth Institute Room 411
Boston, MA 02115
City
Boston
State
MA
Zip
02115
Phone Number
617-892-8491
Fax Number
617-892-8303

License Information

License Number
21238
License State
MA
Taxonomy
Dentist, Periodontics · 1223P0300X · 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. Peter A Jezewski, DDS PHD?

The NPI number of Dr. Peter A Jezewski, DDS PHD is 1730102088. It was assigned on July 26, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Peter A Jezewski, DDS PHD?

Dr. Peter A Jezewski, DDS PHD is registered under the primary taxonomy Dentist, Periodontics (code 1223P0300X), licensed in MA under license number 21238.

Where does Dr. Peter A Jezewski, DDS PHD practice?

The practice location is 100 Everett Ave, Unit 5, Chelsea, MA 02150. The office can be reached at 617-884-4444 (phone) or 617-884-4448 (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 1730102088 directly on the NPPES registry website.

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