Waverley Oaks Dental Care Specialists Llc in Waltham - Pediatric Dentistry
Waverley Oaks Dental Care Specialists Llc - NPI 1336282300
Waverley Oaks Dental Care Specialists Llc is a Pediatric Dentistry in Waltham, Massachusetts. Waverley Oaks Dental Care Specialists Llc practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Waverley Oaks Dental Care Specialists Llc is 1336282300. The last update date is 2020-08-22.
Waverley Oaks Dental Care Specialists Llc's current location address is 411 Waverley Oaks Rd, Waltham, Massachusetts. You can contact this provider via phone number 7816470022 and fax number 7816471122. The mailing address for Waverley Oaks Dental Care Specialists Llc is 411 Waverley Oaks Rd, Waltham, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Waverley Oaks Dental Care Specialists Llc |
|---|---|
| Address | 411 Waverley Oaks Rd, Waltham, Massachusetts |
| Phone Number | 7816470022 |
| Fax Number | 7816471122 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Sagafi Soli Shahin |
| Credentials | DMD |
| Telephone Number | 7816470022 |
NPI Number Detail
| NPI Number | 1336282300 |
|---|---|
| Provider Enumeration Date | 2007-02-15 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 411 Waverley Oaks Rd |
|---|---|
| City | Waltham |
| State | Massachusetts (MA) |
| Post Code | 24528448 |
| Phone Number | 7816470022 |
| Fax Number | 7816471122 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 18464 |
|
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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| X12212 | MA | BLUE CROSS BLUE SHIELDS |
Post Comment/ Review Below
What is the unique identifier code issued to Waverley Oaks Dental Care Specialists Llc by the Centers for Medicare & Medicaid Services?
The Waverley Oaks Dental Care Specialists Llc has been assigned the NPI (National Provider Identifier) 1336282300. 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 Waverley Oaks Dental Care Specialists Llc's facilities are situated?
The facilities of Waverley Oaks Dental Care Specialists Llc are physically located at the following address: 411 Waverley Oaks Rd, Waltham, MA, 24528448.
What is the Waverley Oaks Dental Care Specialists Llc's area of specialization and corresponding taxonomy classification?
The Waverley Oaks Dental Care Specialists Llc's specialty field is Pediatric Dentistry, and it falls under the taxonomy code 1223P0221X, which categorizes healthcare providers based on their specialties.
On what date did the Waverley Oaks Dental Care Specialists Llc receive the assignment of its 1336282300 from the Centers for Medicare & Medicaid Services?
The Waverley Oaks Dental Care Specialists Llc was issued its 1336282300 by the Centers for Medicare & Medicaid Services on 2007-02-15.
As of what date were the Waverley Oaks Dental Care Specialists Llc's details last updated?
The information pertaining to the Waverley Oaks Dental Care Specialists Llc, including its address, specialty, and other details, was most recently updated on 2020-08-22.