Active NPIOrganization

T.p.deahl D.d.s., P.c.

Dentist, General Practice in Cambridge, Massachusetts

NPI Number1952595696
Practice location
2286 Massachusetts Ave, Cambridge, MA 02140-1812
Fax
617-868-5375
Last updated
September 5, 2007

T.p.deahl D.d.s., P.c. is a healthcare organization based in Cambridge, MA. T.p.deahl D.d.s., P.c. practices in Cambridge, MA. The NPI Number for T.p.deahl D.d.s., P.c. is 1952595696 and holds a License No. 16574 (MA). The current practice location address for T.p.deahl D.d.s., P.c. is 2286 Massachusetts Ave, Cambridge, MA 02140-1812 and can be reached out via phone at 617-868-4046 and via fax at 617-868-5375.

Provider Profile Details

NPI Number
1952595696
Provider Name
T.p.deahl D.d.s., P.c.
Provider Entity Type
Organization
Address
2286 Massachusetts Ave, Cambridge, MA 02140-1812
Phone Number
617-868-4046
Fax Number
617-868-5375
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Organization Subpart
No
Authorized Official
Dr. Timothy Paul Deahl, DDS · President · 617-868-4046
Provider Enumeration Date
September 5, 2007
Last Update Date
September 5, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
2286 Massachusetts Ave
Cambridge, MA 02140-1812
Zip
02140-1812
Phone Number
617-868-4046
Fax Number
617-868-5375
Cambridge, MA 02140Get directions →

Provider Business Mailing Address Details

Address
2286 Massachsuetts Ave
Cambridge, MA 02140
City
Cambridge
State
MA
Zip
02140
Phone Number
617-868-4046
Fax Number
617-868-5375

License Information

License Number
16574
License State
MA
Taxonomy
Dentist, General Practice · 1223G0001X · 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 T.p.deahl D.d.s., P.c.?

The NPI number of T.p.deahl D.d.s., P.c. is 1952595696. It was assigned on September 5, 2007 and is currently active in the NPPES registry.

What is the specialty of T.p.deahl D.d.s., P.c.?

T.p.deahl D.d.s., P.c. is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number 16574.

Where does T.p.deahl D.d.s., P.c. practice?

The practice location is 2286 Massachusetts Ave, Cambridge, MA 02140-1812. The office can be reached at 617-868-4046 (phone) or 617-868-5375 (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 1952595696 directly on the NPPES registry website.

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