Active NPIIndividual provider

Dr. Carla I Kontax, DMD

Dentist in South Boston, Massachusetts

NPI Number1952622169
Practice location
386 W Broadway, South Boston, MA 02127
Fax
617-464-5828
Last updated
June 25, 2018

Carla Irene Kontax is a Dentist based in South Boston, MA. Carla Irene Kontax practices in South Boston, MA and has the professional credentials of DMD. The NPI Number for Carla Irene Kontax is 1952622169 and holds a License No. DN18999 (FL). The current practice location address for Carla Irene Kontax is 386 W Broadway, South Boston, MA 02127 and can be reached out via phone at 617-464-5825 and via fax at 617-464-5828.

Provider Profile Details

NPI Number
1952622169
Provider Name
Carla Irene Kontax
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
386 W Broadway, South Boston, MA 02127
Phone Number
617-464-5825
Fax Number
617-464-5828
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
No
Provider Enumeration Date
June 22, 2010
Last Update Date
June 25, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
386 W Broadway
South Boston, MA 02127
Zip
02127
Phone Number
617-464-5825
Fax Number
617-464-5828
South Boston, MA 02127Get directions →

Provider Business Mailing Address Details

Address
386 W Broadway
South Boston, MA 02127-2215
City
South Boston
State
MA
Zip
02127-2215
Phone Number
617-464-5825
Fax Number
617-464-5828

License Information

License Number (1)
DN18999
License State (1)
FL
Taxonomy (1)
Dentist · 122300000X
License Number (2)
DN1855460
License State (2)
MA
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 Dr. Carla I Kontax, DMD?

The NPI number of Dr. Carla I Kontax, DMD is 1952622169. It was assigned on June 22, 2010 and is currently active in the NPPES registry.

What is the specialty of Dr. Carla I Kontax, DMD?

Dr. Carla I Kontax, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in FL under license number DN18999.

Where does Dr. Carla I Kontax, DMD practice?

The practice location is 386 W Broadway, South Boston, MA 02127. The office can be reached at 617-464-5825 (phone) or 617-464-5828 (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 1952622169 directly on the NPPES registry website.

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