Pondside Associates, LLC
Clinic/Center, Dental in Jamaica Plain, Massachusetts
1912188574- Practice location
- 793 Centre St, Jamaica Plain, MA 02130-2736
- Phone
- 617-522-1970
- Fax
- —
- Last updated
- November 23, 2007
Pondside Associates, LLC is a healthcare organization based in Jamaica Plain, MA. Pondside Associates, LLC practices in Jamaica Plain, MA. The NPI Number for Pondside Associates, LLC is 1912188574 and holds a License No. 20059 (MA). The current practice location address for Pondside Associates, LLC is 793 Centre St, Jamaica Plain, MA 02130-2736 and can be reached out via phone at 617-522-1970.
Provider Profile Details
- NPI Number
- 1912188574
- Provider Name
- Pondside Associates, LLC
- Provider Entity Type
- Organization
- Address
- 793 Centre St, Jamaica Plain, MA 02130-2736
- Phone Number
- 617-522-1970
- Primary Taxonomy
- Clinic/Center, Dental · 261QD0000X
- Organization Subpart
- No
- Authorized Official
- Dr. John Tieu, DDS · Owner/ Dentist · 617-522-1970
- Provider Enumeration Date
- November 23, 2007
- Last Update Date
- November 23, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 793 Centre St
Jamaica Plain, MA 02130-2736 - City
- Jamaica Plain
- State
- Massachusetts
- Zip
- 02130-2736
- Phone Number
- 617-522-1970
Provider Business Mailing Address Details
- Address
- P.o.box 301697
Jamaica Plain, MA 02130 - City
- Jamaica Plain
- State
- MA
- Zip
- 02130
- Phone Number
- 617-522-1970
License Information
- License Number
- 20059
- 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. | |||
Other Clinic/Center, Dental providers near Jamaica Plain, MA
View all Clinic/Center, Dental providers in Jamaica Plain →Frequently Asked Questions
What is the NPI number of Pondside Associates, LLC?
The NPI number of Pondside Associates, LLC is 1912188574. It was assigned on November 23, 2007 and is currently active in the NPPES registry.
What is the specialty of Pondside Associates, LLC?
Pondside Associates, LLC is registered under the primary taxonomy Clinic/Center, Dental (code 261QD0000X), licensed in MA under license number 20059.
Where does Pondside Associates, LLC practice?
The practice location is 793 Centre St, Jamaica Plain, MA 02130-2736. The office can be reached at 617-522-1970 (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 1912188574 directly on the NPPES registry website.