Active NPIIndividual providerSole proprietor

Anna Komnatnaya, DMD

Dentist in Cambridge, Massachusetts

NPI Number1770930455
Practice location
245 First St Ste 18, Cambridge, MA 02142-1292
Fax
—
Last updated
September 17, 2021

Anna Komnatnaya is a Dentist based in Cambridge, MA. Anna Komnatnaya practices in Cambridge, MA and has the professional credentials of DMD. The NPI Number for Anna Komnatnaya is 1770930455 and holds a License No. DN1859034 (MA). The current practice location address for Anna Komnatnaya is 245 First St Ste 18, Cambridge, MA 02142-1292 and can be reached out via phone at 888-833-8441.

Provider Profile Details

NPI Number
1770930455
Provider Name
Anna Komnatnaya
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
245 First St Ste 18, Cambridge, MA 02142-1292
Phone Number
888-833-8441
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
Yes
Provider Enumeration Date
May 23, 2016
Last Update Date
September 17, 2021
Certification Date
September 17, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
245 First St Ste 18
Cambridge, MA 02142-1292
Zip
02142-1292
Phone Number
888-833-8441
Cambridge, MA 02142Get directions →

Provider Business Mailing Address Details

Address
19 Rockridge RD
Hopedale, MA 01747-1451
City
Hopedale
State
MA
Zip
01747-1451
Phone Number
508-381-9494

License Information

License Number (2)
DN1859034
License State (2)
MA
Taxonomy (2)
Dentist · 122300000X · 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 Anna Komnatnaya, DMD?

The NPI number of Anna Komnatnaya, DMD is 1770930455. It was assigned on May 23, 2016 and is currently active in the NPPES registry.

What is the specialty of Anna Komnatnaya, DMD?

Anna Komnatnaya, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in MA under license number DN1859034.

Where does Anna Komnatnaya, DMD practice?

The practice location is 245 First St Ste 18, Cambridge, MA 02142-1292. The office can be reached at 888-833-8441 (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 1770930455 directly on the NPPES registry website.

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