Elite Dental, Inc. in Brookline - Dentist
Elite Dental, Inc. - NPI 1417144965
Elite Dental, Inc. is a Dentist in Brookline, Massachusetts. Elite Dental, Inc. practices all healthcare services and medical treatments related to Dentist. The NPI Number for Elite Dental, Inc. is 1417144965. The last update date is 2007-09-28.
Elite Dental, Inc.'s current location address is 1540 Beacon St, Brookline, Massachusetts. You can contact this provider via phone number 6177381950 and fax number 9786582579. The mailing address for Elite Dental, Inc. is 1540 Beacon St, Brookline, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Elite Dental, Inc. |
|---|---|
| Address | 1540 Beacon St, Brookline, Massachusetts |
| Phone Number | 6177381950 |
| Fax Number | 9786582579 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Kelley R Justine |
| Credentials | DMD |
| Telephone Number | 6172812978 |
NPI Number Detail
| NPI Number | 1417144965 |
|---|---|
| Provider Enumeration Date | 2007-09-28 |
| Last Updated Date | 2007-09-28 |
Provider Mailing Address Detail
| Address | 1540 Beacon St |
|---|---|
| City | Brookline |
| State | Massachusetts (MA) |
| Post Code | 24462215 |
| Phone Number | 6177381950 |
| Fax Number | 9786582579 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
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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 10-digit identifier code assigned to Elite Dental, Inc. by the Centers for Medicare & Medicaid Services?
The Elite Dental, Inc. has been issued the NPI (National Provider Identifier) 1417144965 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Elite Dental, Inc.?
The Elite Dental, Inc. is situated at 1540 Beacon St, in the city of Brookline, state of MA, with the zip code 24462215.
What is Elite Dental, Inc.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Elite Dental, Inc.'s specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1417144965 to Elite Dental, Inc.?
The Centers for Medicare & Medicaid Services assigned the 1417144965 to Elite Dental, Inc. on 2007-09-28.
When was the information regarding Elite Dental, Inc. most recently updated?
The details pertaining to the Elite Dental, Inc., including its address, specialty, and other relevant information, were last refreshed on 2007-09-28.
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