Prospect Dental Group, L.l.c.
Clinic/Center, Dental in Cambridge, Massachusetts
1750521399- Practice location
- 30 Prospect St., Cambridge, MA 02139
- Phone
- 617-576-5300
- Fax
- 617-576-5500
- Last updated
- July 10, 2012
Prospect Dental Group, L.l.c. is a healthcare organization based in Cambridge, MA. Prospect Dental Group, L.l.c. practices in Cambridge, MA. The NPI Number for Prospect Dental Group, L.l.c. is 1750521399 and holds a License No. 21214 (MA). The current practice location address for Prospect Dental Group, L.l.c. is 30 Prospect St., Cambridge, MA 02139 and can be reached out via phone at 617-576-5300 and via fax at 617-576-5500.
Provider Profile Details
- NPI Number
- 1750521399
- Provider Name
- Prospect Dental Group, L.l.c.
- Provider Entity Type
- Organization
- Address
- 30 Prospect St., Cambridge, MA 02139
- Phone Number
- 617-576-5300
- Fax Number
- 617-576-5500
- Primary Taxonomy
- Clinic/Center, Dental · 261QD0000X
- Organization Subpart
- No
- Authorized Official
- Mr. Eugene Kyungmook Khang, DMD · Owner · 617-576-5300
- Provider Enumeration Date
- February 23, 2009
- Last Update Date
- July 10, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 30 Prospect St.
Cambridge, MA 02139 - City
- Cambridge
- State
- Massachusetts
- Zip
- 02139
- Phone Number
- 617-576-5300
- Fax Number
- 617-576-5500
Provider Business Mailing Address Details
- Address
- 30 Prospect St.
Cambridge, MA 02139 - City
- Cambridge
- State
- MA
- Zip
- 02139
- Phone Number
- 617-576-5300
- Fax Number
- 617-576-5500
License Information
- License Number
- 21214
- License State
- MA
- Taxonomy
- 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. | |||
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Frequently Asked Questions
What is the NPI number of Prospect Dental Group, L.l.c.?
The NPI number of Prospect Dental Group, L.l.c. is 1750521399. It was assigned on February 23, 2009 and is currently active in the NPPES registry.
What is the specialty of Prospect Dental Group, L.l.c.?
Prospect Dental Group, L.l.c. is registered under the primary taxonomy Clinic/Center, Dental (code 261QD0000X), licensed in MA under license number 21214.
Where does Prospect Dental Group, L.l.c. practice?
The practice location is 30 Prospect St., Cambridge, MA 02139. The office can be reached at 617-576-5300 (phone) or 617-576-5500 (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 1750521399 directly on the NPPES registry website.