Active NPIOrganization

Coredental, LLC

Dentist, Periodontics in Quincy, Massachusetts

NPI Number1750828752
Practice location
611 Adams St, Quincy, MA 02169-1319
Fax
617-481-6635
Last updated
May 4, 2017

Coredental, LLC is a healthcare organization based in Quincy, MA. Coredental, LLC practices in Quincy, MA. The NPI Number for Coredental, LLC is 1750828752 and holds a License No. DN1856376 (MA). The current practice location address for Coredental, LLC is 611 Adams St, Quincy, MA 02169-1319 and can be reached out via phone at 617-479-9191 and via fax at 617-481-6635.

Provider Profile Details

NPI Number
1750828752
Provider Name
Coredental, LLC
Provider Entity Type
Organization
Address
611 Adams St, Quincy, MA 02169-1319
Phone Number
617-479-9191
Fax Number
617-481-6635
Primary Taxonomy
Dentist, Periodontics · 1223P0300X
Organization Subpart
No
Authorized Official
Dr. Frederick Nafash · Sole Member · 617-634-9393
Provider Enumeration Date
January 27, 2017
Last Update Date
May 4, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
611 Adams St
Quincy, MA 02169-1319
City
Quincy
Zip
02169-1319
Phone Number
617-479-9191
Fax Number
617-481-6635
Quincy, MA 02169Get directions →

Provider Business Mailing Address Details

Address
611 Adams St
Quincy, MA 02169-1319
City
Quincy
State
MA
Zip
02169-1319
Phone Number
617-651-5255
Fax Number
617-481-6635

License Information

License Number
DN1856376
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 Coredental, LLC?

The NPI number of Coredental, LLC is 1750828752. It was assigned on January 27, 2017 and is currently active in the NPPES registry.

What is the specialty of Coredental, LLC?

Coredental, LLC is registered under the primary taxonomy Dentist, Periodontics (code 1223P0300X), licensed in MA under license number DN1856376.

Where does Coredental, LLC practice?

The practice location is 611 Adams St, Quincy, MA 02169-1319. The office can be reached at 617-479-9191 (phone) or 617-481-6635 (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 1750828752 directly on the NPPES registry website.

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