Active NPIIndividual providerSole proprietor

Dr. Tien DO, DMD

Dentist in Medford, Massachusetts

NPI Number1801389374
Practice location
101 Main St Ste 206, Medford, MA 02155-4530
Fax
—
Last updated
June 14, 2023

Tien DO is a Dentist based in Medford, MA. Tien DO practices in Medford, MA and has the professional credentials of DMD. The NPI Number for Tien DO is 1801389374 and holds a License No. DN1857940 (MA). The current practice location address for Tien DO is 101 Main St Ste 206, Medford, MA 02155-4530 and can be reached out via phone at 781-395-5545.

Provider Profile Details

NPI Number
1801389374
Provider Name
Tien DO
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
101 Main St Ste 206, Medford, MA 02155-4530
Phone Number
781-395-5545
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
Yes
Provider Enumeration Date
June 10, 2018
Last Update Date
June 14, 2023
Certification Date
June 14, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
101 Main St Ste 206
Medford, MA 02155-4530
Zip
02155-4530
Phone Number
781-395-5545
Medford, MA 02155Get directions →

Provider Business Mailing Address Details

Address
700 Harrison Ave Unit 410
Boston, MA 02118-2740
City
Boston
State
MA
Zip
02118-2740
Phone Number
917-455-6237

License Information

License Number
DN1857940
License State
MA
Taxonomy
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 Dr. Tien DO, DMD?

The NPI number of Dr. Tien DO, DMD is 1801389374. It was assigned on June 10, 2018 and is currently active in the NPPES registry.

What is the specialty of Dr. Tien DO, DMD?

Dr. Tien DO, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in MA under license number DN1857940.

Where does Dr. Tien DO, DMD practice?

The practice location is 101 Main St Ste 206, Medford, MA 02155-4530. The office can be reached at 781-395-5545 (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 1801389374 directly on the NPPES registry website.

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