Diane A. Suda is a Endodontics in Bedford, Massachusetts. Diane A. Suda practices all healthcare services and medical treatments related to Endodontics. The NPI Number for Diane A. Suda is 1083683643. The last update date is 2015-08-08.
Diane A. Suda's current location address is 200 Springs Rd, Bedford, Massachusetts. You can contact this provider via phone number 7816872000. The mailing address for Diane A. Suda is 200 Springs Rd, Bedford, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Diane A. Suda |
|---|---|
| Address | 200 Springs Rd, Bedford, Massachusetts |
| Phone Number | 7816872000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1083683643 |
|---|---|
| Provider Enumeration Date | 2006-03-16 |
| Last Updated Date | 2015-08-08 |
Provider Mailing Address Detail
| Address | 200 Springs Rd |
|---|---|
| City | Bedford |
| State | Massachusetts (MA) |
| Post Code | 17301114 |
| Phone Number | 7816872000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Endodontics |
|---|---|
| Taxonomy | 1223E0200X |
| Licence No | 15653 |
|
Definition: The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the eti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PH148 | MA | HARVARD PILGRIM | |
| V06040 | MA | BCBS - DENTAL |
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What is the unique identification code assigned to Diane A. Suda by the Centers for Medicare & Medicaid Services?
The Diane A. Suda has been issued the NPI (National Provider Identifier) 1083683643. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Diane A. Suda?
The Diane A. Suda is physically situated at 200 Springs Rd, in the city of Bedford, state of MA, with the postal code 17301114.
What is the Diane A. Suda's specialty and taxonomy code?
The Diane A. Suda's specialty is Endodontics, and the corresponding taxonomy code is 1223E0200X.
When did Diane A. Suda receive its 1083683643 assignment?
The Diane A. Suda was assigned its 1083683643 on 2006-03-16, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Diane A. Suda most recently updated or revised?
The information pertaining to Diane A. Suda, including its address, specialty, and other relevant details, was last updated or revised on 2015-08-08.
NPI Number: 1730182858
Address: 40 Old Lancaster Rd Apt 412, Merion Station, PA