Revere Pediatric Dentistry
Dentist, Pediatric Dentistry in Revere, Massachusetts
1912357336- Practice location
- 11 Vinal St, Revere, MA 02151-5326
- Phone
- 781-284-3113
- Fax
- —
- Last updated
- June 16, 2016
Revere Pediatric Dentistry is a healthcare organization based in Revere, MA. Revere Pediatric Dentistry practices in Revere, MA. The NPI Number for Revere Pediatric Dentistry is 1912357336 and holds a License No. DN20603 (MA). The current practice location address for Revere Pediatric Dentistry is 11 Vinal St, Revere, MA 02151-5326 and can be reached out via phone at 781-284-3113.
Provider Profile Details
- NPI Number
- 1912357336
- Provider Name
- Revere Pediatric Dentistry
- Provider Entity Type
- Organization
- Address
- 11 Vinal St, Revere, MA 02151-5326
- Phone Number
- 781-284-3113
- Primary Taxonomy
- Dentist, Pediatric Dentistry · 1223P0221X
- Organization Subpart
- No
- Authorized Official
- Dr. Kamar Maria Baloul, DMD · Pediatric Dentist · 781-284-3113
- Provider Enumeration Date
- June 16, 2016
- Last Update Date
- June 16, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 11 Vinal St
Revere, MA 02151-5326 - City
- Revere
- State
- Massachusetts
- Zip
- 02151-5326
- Phone Number
- 781-284-3113
Provider Business Mailing Address Details
- Address
- 11 Vinal St
Revere, MA 02151-5326 - City
- Revere
- State
- MA
- Zip
- 02151-5326
- Phone Number
- 781-284-3113
License Information
- License Number
- DN20603
- License State
- MA
- Taxonomy
- Dentist, Pediatric Dentistry · 1223P0221X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentist, Pediatric Dentistry providers near Revere, MA
View all Dentist, Pediatric Dentistry providers in Revere →- Dr. Jasmin Koleini, DDSDentist, Pediatric Dentistry · NPI 1528624574
- Kamila De La CruzRegistered Nurse · NPI 1740180314
- Erick Rys, RN283722Nurse Practitioner, Psych/Mental Health · NPI 1336046218
- Walgreen Co.Pharmacy · NPI 1326053513
- Leena MarsanCase Manager/Care Coordinator · NPI 1750280996
- Dounia BouzidiTechnician, Pathology, Phlebotomy · NPI 1942108949
Frequently Asked Questions
What is the NPI number of Revere Pediatric Dentistry?
The NPI number of Revere Pediatric Dentistry is 1912357336. It was assigned on June 16, 2016 and is currently active in the NPPES registry.
What is the specialty of Revere Pediatric Dentistry?
Revere Pediatric Dentistry is registered under the primary taxonomy Dentist, Pediatric Dentistry (code 1223P0221X), licensed in MA under license number DN20603.
Where does Revere Pediatric Dentistry practice?
The practice location is 11 Vinal St, Revere, MA 02151-5326. The office can be reached at 781-284-3113 (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 1912357336 directly on the NPPES registry website.