Edward Henry Fidrocki in Boston - Dentist
Edward Henry Fidrocki - NPI 1952385742
Edward Henry Fidrocki is a Dentist in Boston, Massachusetts. Edward Henry Fidrocki practices all healthcare services and medical treatments related to Dentist. The NPI Number for Edward Henry Fidrocki is 1952385742. The last update date is 2015-11-24.
Edward Henry Fidrocki's current location address is 1 Kneeland St, Boston, Massachusetts. You can contact this provider via phone number 6177240287 and fax number 6177262894. The mailing address for Edward Henry Fidrocki is 1 Kneeland St, Boston, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edward Henry Fidrocki |
|---|---|
| Address | 1 Kneeland St, Boston, Massachusetts |
| Phone Number | 6177240287 |
| Fax Number | 6177262894 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1952385742 |
|---|---|
| Provider Enumeration Date | 2005-12-05 |
| Last Updated Date | 2015-11-24 |
Provider Mailing Address Detail
| Address | 1 Kneeland St |
|---|---|
| City | Boston |
| State | Massachusetts (MA) |
| Post Code | 2111 |
| Phone Number | 6177240287 |
| Fax Number | 6177262894 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 15917 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique identifier code issued to Edward Henry Fidrocki by the Centers for Medicare & Medicaid Services?
The Edward Henry Fidrocki has been assigned the NPI (National Provider Identifier) 1952385742. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Edward Henry Fidrocki's facilities are situated?
The facilities of Edward Henry Fidrocki are physically located at the following address: 1 Kneeland St, Boston, MA, 2111.
What is Edward Henry Fidrocki's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Edward Henry Fidrocki is Dentist, and the corresponding taxonomy classification code for this specialized field is 122300000X.
On what date did the Edward Henry Fidrocki receive its 1952385742 assignment from the Centers for Medicare & Medicaid Services?
The Edward Henry Fidrocki was assigned its 1952385742 by the Centers for Medicare & Medicaid Services on 2005-12-05.
When was the information pertaining to Edward Henry Fidrocki most recently updated or revised?
The details related to Edward Henry Fidrocki, including its address, specialty, and other relevant information, were last updated or revised on 2015-11-24.