South Boston Family Dental LLC
Dentist in South Boston, Massachusetts
1730598871- Practice location
- 591 E Broadway, South Boston, MA 02127-4404
- Phone
- 617-268-5638
- Fax
- —
- Last updated
- August 2, 2014
South Boston Family Dental LLC is a healthcare organization based in South Boston, MA. South Boston Family Dental LLC practices in South Boston, MA. The NPI Number for South Boston Family Dental LLC is 1730598871 and holds a License No. 18625 (MA). The current practice location address for South Boston Family Dental LLC is 591 E Broadway, South Boston, MA 02127-4404 and can be reached out via phone at 617-268-5638.
Provider Profile Details
- NPI Number
- 1730598871
- Provider Name
- South Boston Family Dental LLC
- Provider Entity Type
- Organization
- Address
- 591 E Broadway, South Boston, MA 02127-4404
- Phone Number
- 617-268-5638
- Primary Taxonomy
- Dentist · 122300000X
- Organization Subpart
- No
- Authorized Official
- Mrs. Connie Liu · Office Manager · 617-584-0141
- Provider Enumeration Date
- August 2, 2014
- Last Update Date
- August 2, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 591 E Broadway
South Boston, MA 02127-4404 - City
- South Boston
- State
- Massachusetts
- Zip
- 02127-4404
- Phone Number
- 617-268-5638
Provider Business Mailing Address Details
- Address
- 591 E Broadway
South Boston, MA 02127-4404 - City
- South Boston
- State
- MA
- Zip
- 02127-4404
License Information
- License Number
- 18625
- License State
- MA
- Taxonomy
- Dentist · 122300000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentists near South Boston, MA
View all Dentists in South Boston →Frequently Asked Questions
What is the NPI number of South Boston Family Dental LLC?
The NPI number of South Boston Family Dental LLC is 1730598871. It was assigned on August 2, 2014 and is currently active in the NPPES registry.
What is the specialty of South Boston Family Dental LLC?
South Boston Family Dental LLC is registered under the primary taxonomy Dentist (code 122300000X), licensed in MA under license number 18625.
Where does South Boston Family Dental LLC practice?
The practice location is 591 E Broadway, South Boston, MA 02127-4404. The office can be reached at 617-268-5638 (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 1730598871 directly on the NPPES registry website.