Seaport Dental Associates Llc in South Boston - Dentist
Seaport Dental Associates Llc - NPI 1710109541
Seaport Dental Associates Llc is a Dentist in South Boston, Massachusetts. Seaport Dental Associates Llc practices all healthcare services and medical treatments related to Dentist. The NPI Number for Seaport Dental Associates Llc is 1710109541. The last update date is 2020-08-22.
Seaport Dental Associates Llc's current location address is 799 E Broadway, South Boston, Massachusetts. You can contact this provider via phone number 9176088055. The mailing address for Seaport Dental Associates Llc is 799 E Broadway, South Boston, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Seaport Dental Associates Llc |
|---|---|
| Address | 799 E Broadway, South Boston, Massachusetts |
| Phone Number | 9176088055 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DENTIST |
|---|---|
| Authorized Official Name | Greenberg Elizabeth |
| Credentials | DMD |
| Telephone Number | 9176088055 |
NPI Number Detail
| NPI Number | 1710109541 |
|---|---|
| Provider Enumeration Date | 2007-05-02 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 799 E Broadway |
|---|---|
| City | South Boston |
| State | Massachusetts (MA) |
| Post Code | 21272346 |
| Phone Number | 9176088055 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 21316 |
|
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 10-digit identification code issued to Seaport Dental Associates Llc by the Centers for Medicare & Medicaid Services?
The Seaport Dental Associates Llc has been assigned the NPI (National Provider Identifier) 1710109541 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Seaport Dental Associates Llc located?
The Seaport Dental Associates Llc is located at 799 E Broadway, South Boston, MA 21272346.
What is the Seaport Dental Associates Llc's specialty and taxonomy code?
The Seaport Dental Associates Llc's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
On what date did Seaport Dental Associates Llc receive its 1710109541 assignment from the Centers for Medicare & Medicaid Services?
The Seaport Dental Associates Llc was assigned its 1710109541 on 2007-05-02, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Seaport Dental Associates Llc's details last updated?
The information pertaining to the Seaport Dental Associates Llc, including its address, specialty, and other details, was most recently updated on 2020-08-22.
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