- Practice location
- 546 Main St, Athol, MA 01331-1821
- Phone
- 978-830-4610
- Fax
- —
- Last updated
- November 2, 2024
Minsub Ban is a Dentist based in Athol, MA. Minsub Ban practices in Athol, MA and has the professional credentials of DDS. The NPI Number for Minsub Ban is 1912740598 and holds a License No. DN10000417 (MA). The current practice location address for Minsub Ban is 546 Main St, Athol, MA 01331-1821 and can be reached out via phone at 978-830-4610.
Provider Profile Details
- NPI Number
- 1912740598
- Provider Name
- Minsub Ban
- Credential
- DDS
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 546 Main St, Athol, MA 01331-1821
- Phone Number
- 978-830-4610
- Primary Taxonomy
- Dentist · 122300000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 13, 2024
- Last Update Date
- November 2, 2024
- Certification Date
- November 2, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 546 Main St
Athol, MA 01331-1821 - City
- Athol
- State
- Massachusetts
- Zip
- 01331-1821
- Phone Number
- 978-830-4610
Provider Business Mailing Address Details
- Address
- 4042 Guinea RD
Fairfax, VA 22032-1413 - City
- Fairfax
- State
- VA
- Zip
- 22032-1413
License Information
- License Number
- DN10000417
- License State
- MA
- Taxonomy
- Dentist · 122300000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentists near Athol, MA
View all Dentists in Athol →Frequently Asked Questions
What is the NPI number of Minsub Ban, DDS?
The NPI number of Minsub Ban, DDS is 1912740598. It was assigned on June 13, 2024 and is currently active in the NPPES registry.
What is the specialty of Minsub Ban, DDS?
Minsub Ban, DDS is registered under the primary taxonomy Dentist (code 122300000X), licensed in MA under license number DN10000417.
Where does Minsub Ban, DDS practice?
The practice location is 546 Main St, Athol, MA 01331-1821. The office can be reached at 978-830-4610 (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 1912740598 directly on the NPPES registry website.