Maverick Family Dental PC
Dentist, General Practice in East Boston, Massachusetts
1912058421- Practice location
- 45 Maverick Sq, East Boston, MA 02128-2312
- Phone
- 617-567-3800
- Fax
- 617-567-3802
- Last updated
- April 3, 2008
Maverick Family Dental PC is a healthcare organization based in East Boston, MA. Maverick Family Dental PC practices in East Boston, MA. The NPI Number for Maverick Family Dental PC is 1912058421 and holds a License No. 20485 (MA). The current practice location address for Maverick Family Dental PC is 45 Maverick Sq, East Boston, MA 02128-2312 and can be reached out via phone at 617-567-3800 and via fax at 617-567-3802.
Provider Profile Details
- NPI Number
- 1912058421
- Provider Name
- Maverick Family Dental PC
- Provider Entity Type
- Organization
- Address
- 45 Maverick Sq, East Boston, MA 02128-2312
- Phone Number
- 617-567-3800
- Fax Number
- 617-567-3802
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Organization Subpart
- No
- Authorized Official
- Julia Faigel, DMD · President · 617-567-3800
- Provider Enumeration Date
- January 13, 2007
- Last Update Date
- April 3, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 45 Maverick Sq
East Boston, MA 02128-2312 - City
- East Boston
- State
- Massachusetts
- Zip
- 02128-2312
- Phone Number
- 617-567-3800
- Fax Number
- 617-567-3802
Provider Business Mailing Address Details
- Address
- 45 Maverick Sq
East Boston, MA 02128-2312 - City
- East Boston
- State
- MA
- Zip
- 02128-2312
- Phone Number
- 617-567-3800
- Fax Number
- 617-567-3802
License Information
- License Number
- 20485
- License State
- MA
- Taxonomy
- Dentist, General Practice · 1223G0001X · 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 Maverick Family Dental PC?
The NPI number of Maverick Family Dental PC is 1912058421. It was assigned on January 13, 2007 and is currently active in the NPPES registry.
What is the specialty of Maverick Family Dental PC?
Maverick Family Dental PC is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number 20485.
Where does Maverick Family Dental PC practice?
The practice location is 45 Maverick Sq, East Boston, MA 02128-2312. The office can be reached at 617-567-3800 (phone) or 617-567-3802 (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 1912058421 directly on the NPPES registry website.