Active NPIIndividual providerSole proprietor

Katerina Dalavurak

Dentist in Canton, Massachusetts

NPI Number1922529585
Practice location
779 Washington St, Canton, MA 02021-3022
Fax
—
Last updated
October 31, 2022

Katerina Dalavurak is a Dentist based in Canton, MA. Katerina Dalavurak practices in Canton, MA. The NPI Number for Katerina Dalavurak is 1922529585 and holds a License No. DN1857645 (MA). The current practice location address for Katerina Dalavurak is 779 Washington St, Canton, MA 02021-3022 and can be reached out via phone at 781-828-8070.

Provider Profile Details

NPI Number
1922529585
Provider Name
Katerina Dalavurak
Provider Entity Type
Individual
Gender
Female
Address
779 Washington St, Canton, MA 02021-3022
Phone Number
781-828-8070
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
Yes
Provider Enumeration Date
July 3, 2017
Last Update Date
October 31, 2022
Certification Date
October 31, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
779 Washington St
Canton, MA 02021-3022
City
Canton
Zip
02021-3022
Phone Number
781-828-8070
Canton, MA 02021Get directions →

Provider Business Mailing Address Details

Address
815 Saint Clair Ave
Charlottesville, VA 22902-4918
City
Charlottesville
State
VA
Zip
22902-4918
Phone Number
617-818-4098

License Information

License Number (1)
DN1857645
License State (1)
MA
Taxonomy (1)
Dentist · 122300000X
License Number (2)
0401418087
License State (2)
VA
Taxonomy (2)
Dentist · 122300000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Katerina Dalavurak?

The NPI number of Katerina Dalavurak is 1922529585. It was assigned on July 3, 2017 and is currently active in the NPPES registry.

What is the specialty of Katerina Dalavurak?

Katerina Dalavurak is registered under the primary taxonomy Dentist (code 122300000X), licensed in MA under license number DN1857645.

Where does Katerina Dalavurak practice?

The practice location is 779 Washington St, Canton, MA 02021-3022. The office can be reached at 781-828-8070 (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 1922529585 directly on the NPPES registry website.

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