Brookline Progressive Dental Team P.c.
Clinic/Center, Dental in Brookline, Massachusetts
1891059036- Practice location
- 1203 Beacon St Ste 1, Brookline, MA 02446-5346
- Phone
- 617-232-8113
- Fax
- —
- Last updated
- July 3, 2012
Brookline Progressive Dental Team P.c. is a healthcare organization based in Brookline, MA. Brookline Progressive Dental Team P.c. practices in Brookline, MA. The NPI Number for Brookline Progressive Dental Team P.c. is 1891059036 and holds a License No. 21553 (MA). The current practice location address for Brookline Progressive Dental Team P.c. is 1203 Beacon St Ste 1, Brookline, MA 02446-5346 and can be reached out via phone at 617-232-8113.
Provider Profile Details
- NPI Number
- 1891059036
- Provider Name
- Brookline Progressive Dental Team P.c.
- Provider Entity Type
- Organization
- Address
- 1203 Beacon St Ste 1, Brookline, MA 02446-5346
- Phone Number
- 617-232-8113
- Primary Taxonomy
- Clinic/Center, Dental · 261QD0000X
- Organization Subpart
- No
- Authorized Official
- Dr. Hyejin Kwak, DMD · Director · 617-232-8113
- Provider Enumeration Date
- July 3, 2012
- Last Update Date
- July 3, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1203 Beacon St Ste 1
Brookline, MA 02446-5346 - City
- Brookline
- State
- Massachusetts
- Zip
- 02446-5346
- Phone Number
- 617-232-8113
Provider Business Mailing Address Details
- Address
- 1203 Beacon St Ste 1
Brookline, MA 02446-5346 - City
- Brookline
- State
- MA
- Zip
- 02446-5346
License Information
- License Number
- 21553
- License State
- MA
- Taxonomy
- Clinic/Center, Dental · 261QD0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Brookline Progressive Dental Team P.c.?
The NPI number of Brookline Progressive Dental Team P.c. is 1891059036. It was assigned on July 3, 2012 and is currently active in the NPPES registry.
What is the specialty of Brookline Progressive Dental Team P.c.?
Brookline Progressive Dental Team P.c. is registered under the primary taxonomy Clinic/Center, Dental (code 261QD0000X), licensed in MA under license number 21553.
Where does Brookline Progressive Dental Team P.c. practice?
The practice location is 1203 Beacon St Ste 1, Brookline, MA 02446-5346. The office can be reached at 617-232-8113 (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 1891059036 directly on the NPPES registry website.