Peter Alan Jezewski in Boston - Periodontics
Peter Alan Jezewski - NPI 1730102088
Peter Alan Jezewski is a Periodontics in Boston, Massachusetts. Peter Alan Jezewski practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Peter Alan Jezewski is 1730102088. The last update date is 2007-07-08.
Peter Alan Jezewski's current location address is 140 The Fenway, Boston, Massachusetts. You can contact this provider via phone number 6178928491 and fax number 6178928303. The mailing address for Peter Alan Jezewski is 140 The Fenway, Boston, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Peter Alan Jezewski |
|---|---|
| Address | 140 The Fenway, Boston, Massachusetts |
| Phone Number | 6178928491 |
| Fax Number | 6178928303 |
| Sole Proprietor | N |
| Credentials | DDS PHD |
NPI Number Detail
| NPI Number | 1730102088 |
|---|---|
| Provider Enumeration Date | 2006-07-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 140 The Fenway |
|---|---|
| City | Boston |
| State | Massachusetts (MA) |
| Post Code | 2115 |
| Phone Number | 6178928491 |
| Fax Number | 6178928303 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 21238 |
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Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 204544 | MA | -- |
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What is the unique identifier code issued to Peter Alan Jezewski by the Centers for Medicare & Medicaid Services?
The Peter Alan Jezewski has been assigned the NPI (National Provider Identifier) 1730102088. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Peter Alan Jezewski located?
The Peter Alan Jezewski is located at 140 The Fenway, Boston, MA 2115.
What is the Peter Alan Jezewski's specialty and taxonomy code?
The Peter Alan Jezewski's specialty is Periodontics, and the corresponding taxonomy code is 1223P0300X.
When did the Peter Alan Jezewski receive its 1730102088?
The Peter Alan Jezewski was issued its 1730102088 on 2006-07-26, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Peter Alan Jezewski last refreshed?
The information related to the Peter Alan Jezewski, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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