Pediatric Dental Associates Of Brookline, Pc in Brookline - Pediatric Dentistry
Pediatric Dental Associates Of Brookline, Pc - NPI 1144369109
Pediatric Dental Associates Of Brookline, Pc is a Pediatric Dentistry in Brookline, Massachusetts. Pediatric Dental Associates Of Brookline, Pc practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Pediatric Dental Associates Of Brookline, Pc is 1144369109. The last update date is 2020-08-22.
Pediatric Dental Associates Of Brookline, Pc's current location address is 1684 Beacon St, Brookline, Massachusetts. You can contact this provider via phone number 6172327100. The mailing address for Pediatric Dental Associates Of Brookline, Pc is 1684 Beacon St, Brookline, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pediatric Dental Associates Of Brookline, Pc |
|---|---|
| Address | 1684 Beacon St, Brookline, Massachusetts |
| Phone Number | 6172327100 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Ficarelli John |
| Credentials | DMD |
| Telephone Number | 6172327100 |
NPI Number Detail
| NPI Number | 1144369109 |
|---|---|
| Provider Enumeration Date | 2007-02-06 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1684 Beacon St |
|---|---|
| City | Brookline |
| State | Massachusetts (MA) |
| Post Code | 24452101 |
| Phone Number | 6172327100 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 12246 |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
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What is the unique 10-digit identification code issued to Pediatric Dental Associates Of Brookline, Pc by the Centers for Medicare & Medicaid Services?
The Pediatric Dental Associates Of Brookline, Pc has been assigned the NPI (National Provider Identifier) 1144369109 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Pediatric Dental Associates Of Brookline, Pc is located?
The Pediatric Dental Associates Of Brookline, Pc is situated at the following address: 1684 Beacon St, Brookline, MA, 24452101.
What is Pediatric Dental Associates Of Brookline, Pc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Pediatric Dental Associates Of Brookline, Pc's specialized field of practice is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this area of specialization is 1223P0221X.
On what date did the Pediatric Dental Associates Of Brookline, Pc receive the assignment of its 1144369109 from the Centers for Medicare & Medicaid Services?
The Pediatric Dental Associates Of Brookline, Pc was issued its 1144369109 by the Centers for Medicare & Medicaid Services on 2007-02-06.
As of what date were the Pediatric Dental Associates Of Brookline, Pc's details last updated?
The information pertaining to the Pediatric Dental Associates Of Brookline, Pc, including its address, specialty, and other details, was most recently updated on 2020-08-22.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC