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Divyanshu Soni, DMD
Student in an Organized Health Care Education/Training Program in Gardner, Massachusetts
NPI 1750721544

Divyanshu Soni is a Student in an Organized Health Care Education/Training Program based in Gardner, MA. Divyanshu Soni practices in Gardner, MA and has the professional credentials of DMD. The NPI Number for Divyanshu Soni is 1750721544 and holds a License No. DN1856482 (Massachusetts).

The current practice location address for Divyanshu Soni is 49 Cross St, Gardner, MA and can be reached out via phone at 978-632-5659. You can also correspond with Divyanshu Soni through the mailing address at 49 CROSS ST, GARDNER, MA - 01440-2213 (mailing address contact number: 978-632-5659).

Location: 49 Cross St, Gardner, MA, 01440-2213
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750721544
Provider Name
Divyanshu Soni
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
49 Cross St, Gardner, MA, 01440-2213
Phone Number
978-632-5659
Fax Number
Provider Enumeration Date
06/26/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
004011136 05 CT
004011367 05 CT
institution
Provider Business Practice Location Address Details
Address
49 Cross St
City
Gardner
State
Massachusetts
Zip
01440
Phone Number
978-632-5659
Fax Number
person
Provider Business Mailing Address Details
Address
49 Cross St
City
Gardner
State
Massachusetts
Zip
01440-2213
Phone Number
978-632-5659
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
()
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
DN1856482 (Massachusetts)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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