- Practice location
- 18 Woburn St, Medford, MA 02155-3428
- Phone
- 781-396-1414
- Fax
- 781-396-9238
- Last updated
- June 23, 2013
Woburn Street Dental, PC is a healthcare organization based in Medford, MA. Woburn Street Dental, PC practices in Medford, MA. The NPI Number for Woburn Street Dental, PC is 1740629724 and holds a License No. 21583 (MA). The current practice location address for Woburn Street Dental, PC is 18 Woburn St, Medford, MA 02155-3428 and can be reached out via phone at 781-396-1414 and via fax at 781-396-9238.
Provider Profile Details
- NPI Number
- 1740629724
- Provider Name
- Woburn Street Dental, PC
- Provider Entity Type
- Organization
- Address
- 18 Woburn St, Medford, MA 02155-3428
- Phone Number
- 781-396-1414
- Fax Number
- 781-396-9238
- Primary Taxonomy
- Dentist · 122300000X
- Organization Subpart
- No
- Authorized Official
- Boris Bacanurschi, DMD · Owner · 781-396-1414
- Provider Enumeration Date
- June 23, 2013
- Last Update Date
- June 23, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 18 Woburn St
Medford, MA 02155-3428 - City
- Medford
- State
- Massachusetts
- Zip
- 02155-3428
- Phone Number
- 781-396-1414
- Fax Number
- 781-396-9238
Provider Business Mailing Address Details
- Address
- 18 Woburn St
Medford, MA 02155-3428 - City
- Medford
- State
- MA
- Zip
- 02155-3428
- Phone Number
- 781-396-1414
- Fax Number
- 781-396-9238
License Information
- License Number
- 21583
- 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 Medford, MA
View all Dentists in Medford →Frequently Asked Questions
What is the NPI number of Woburn Street Dental, PC?
The NPI number of Woburn Street Dental, PC is 1740629724. It was assigned on June 23, 2013 and is currently active in the NPPES registry.
What is the specialty of Woburn Street Dental, PC?
Woburn Street Dental, PC is registered under the primary taxonomy Dentist (code 122300000X), licensed in MA under license number 21583.
Where does Woburn Street Dental, PC practice?
The practice location is 18 Woburn St, Medford, MA 02155-3428. The office can be reached at 781-396-1414 (phone) or 781-396-9238 (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 1740629724 directly on the NPPES registry website.