Dr. Khara C Gresham, DMD
Dentist in Mattapan, Massachusetts
1790191815- Practice location
- 1575 Blue Hill Ave, Mattapan, MA 02126-2122
- Phone
- 617-296-0061
- Fax
- —
- Last updated
- July 9, 2014
Khara C Gresham is a Dentist based in Mattapan, MA. Khara C Gresham practices in Mattapan, MA and has the professional credentials of DMD. The NPI Number for Khara C Gresham is 1790191815 and holds a License No. DN1856586 (MA). The current practice location address for Khara C Gresham is 1575 Blue Hill Ave, Mattapan, MA 02126-2122 and can be reached out via phone at 617-296-0061.
Provider Profile Details
- NPI Number
- 1790191815
- Provider Name
- Khara C Gresham
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1575 Blue Hill Ave, Mattapan, MA 02126-2122
- Phone Number
- 617-296-0061
- Primary Taxonomy
- Dentist · 122300000X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 9, 2014
- Last Update Date
- July 9, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1575 Blue Hill Ave
Mattapan, MA 02126-2122 - City
- Mattapan
- State
- Massachusetts
- Zip
- 02126-2122
- Phone Number
- 617-296-0061
Provider Business Mailing Address Details
- Address
- 1575 Blue Hill Ave
Mattapan, MA 02126-2122 - City
- Mattapan
- State
- MA
- Zip
- 02126-2122
- Phone Number
- 617-296-0061
License Information
- License Number
- DN1856586
- 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 Mattapan, MA
View all Dentists in Mattapan →- Dr. Danny H Chang, DMDDentist · NPI 1912697335
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- Dr. Quy-Hien Nguyen, DDSDentist · NPI 1184452088
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Frequently Asked Questions
What is the NPI number of Dr. Khara C Gresham, DMD?
The NPI number of Dr. Khara C Gresham, DMD is 1790191815. It was assigned on July 9, 2014 and is currently active in the NPPES registry.
What is the specialty of Dr. Khara C Gresham, DMD?
Dr. Khara C Gresham, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in MA under license number DN1856586.
Where does Dr. Khara C Gresham, DMD practice?
The practice location is 1575 Blue Hill Ave, Mattapan, MA 02126-2122. The office can be reached at 617-296-0061 (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 1790191815 directly on the NPPES registry website.