Active NPIIndividual provider

Dr. Marisa G Fenoglio, DMD

Dentist, Orthodontics and Dentofacial Orthopedics in Cambridge, Massachusetts

NPI Number1801993407
Practice location
1749 Mass Ave, Cambridge, MA 02140
Fax
617-661-1555
Last updated
July 8, 2007

Marisa G Fenoglio is a Dentist, Orthodontics and Dentofacial Orthopedics based in Cambridge, MA. Marisa G Fenoglio practices in Cambridge, MA and has the professional credentials of DMD. The NPI Number for Marisa G Fenoglio is 1801993407 and holds a License No. 19525 (MA). The current practice location address for Marisa G Fenoglio is 1749 Mass Ave, Cambridge, MA 02140 and can be reached out via phone at 617-491-1161 and via fax at 617-661-1555.

Provider Profile Details

NPI Number
1801993407
Provider Name
Marisa G Fenoglio
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
1749 Mass Ave, Cambridge, MA 02140
Phone Number
617-491-1161
Fax Number
617-661-1555
Sole Proprietor
No
Provider Enumeration Date
September 19, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
1749 Mass Ave
Cambridge, MA 02140
Zip
02140
Phone Number
617-491-1161
Fax Number
617-661-1555
Cambridge, MA 02140Get directions →

Provider Business Mailing Address Details

Address
181 Concord Ave
Cambridge, MA 02138
City
Cambridge
State
MA
Zip
02138
Phone Number
617-492-6070
Fax Number
617-576-3848

License Information

License Number
19525
License State
MA
Taxonomy
Dentist, Orthodontics and Dentofacial Orthopedics · 1223X0400X · 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. Marisa G Fenoglio, DMD?

The NPI number of Dr. Marisa G Fenoglio, DMD is 1801993407. It was assigned on September 19, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Marisa G Fenoglio, DMD?

Dr. Marisa G Fenoglio, DMD is registered under the primary taxonomy Dentist, Orthodontics and Dentofacial Orthopedics (code 1223X0400X), licensed in MA under license number 19525.

Where does Dr. Marisa G Fenoglio, DMD practice?

The practice location is 1749 Mass Ave, Cambridge, MA 02140. The office can be reached at 617-491-1161 (phone) or 617-661-1555 (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 1801993407 directly on the NPPES registry website.

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