Active NPIIndividual providerSole proprietor

Dr. Josephine C Pandolfo, DMD

Dentist, Periodontics in Peabody, Massachusetts

NPI Number1821138108
Practice location
355 Lowell St, Peabody, MA 01960-4000
Fax
978-538-9569
Last updated
July 8, 2007

Josephine C Pandolfo is a Dentist, Periodontics based in Peabody, MA. Josephine C Pandolfo practices in Peabody, MA and has the professional credentials of DMD. The NPI Number for Josephine C Pandolfo is 1821138108 and holds a License No. 14188 (MA). The current practice location address for Josephine C Pandolfo is 355 Lowell St, Peabody, MA 01960-4000 and can be reached out via phone at 978-532-3316 and via fax at 978-538-9569.

Provider Profile Details

NPI Number
1821138108
Provider Name
Josephine C Pandolfo
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
355 Lowell St, Peabody, MA 01960-4000
Phone Number
978-532-3316
Fax Number
978-538-9569
Primary Taxonomy
Dentist, Periodontics · 1223P0300X
Sole Proprietor
Yes
Provider Enumeration Date
February 7, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
355 Lowell St
Peabody, MA 01960-4000
Zip
01960-4000
Phone Number
978-532-3316
Fax Number
978-538-9569
Peabody, MA 01960Get directions →

Provider Business Mailing Address Details

Address
355 Lowell St
Peabody, MA 01960-4000
City
Peabody
State
MA
Zip
01960-4000
Phone Number
978-532-3316
Fax Number
978-538-9569

License Information

License Number
14188
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 Dr. Josephine C Pandolfo, DMD?

The NPI number of Dr. Josephine C Pandolfo, DMD is 1821138108. It was assigned on February 7, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Josephine C Pandolfo, DMD?

Dr. Josephine C Pandolfo, DMD is registered under the primary taxonomy Dentist, Periodontics (code 1223P0300X), licensed in MA under license number 14188.

Where does Dr. Josephine C Pandolfo, DMD practice?

The practice location is 355 Lowell St, Peabody, MA 01960-4000. The office can be reached at 978-532-3316 (phone) or 978-538-9569 (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 1821138108 directly on the NPPES registry website.

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