Richard Niederman in Boston - Periodontics
Richard Niederman - NPI 1003029679
Richard Niederman is a Periodontics in Boston, Massachusetts. Richard Niederman practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Richard Niederman is 1003029679. The last update date is 2007-07-08.
Richard Niederman's current location address is 140 Fenway, Boston, Massachusetts. You can contact this provider via phone number 6178928374 and fax number 6172624021. The mailing address for Richard Niederman is 140 Fenway, Boston, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard Niederman |
|---|---|
| Address | 140 Fenway, Boston, Massachusetts |
| Phone Number | 6178928374 |
| Fax Number | 6172624021 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1003029679 |
|---|---|
| Provider Enumeration Date | 2007-05-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 140 Fenway |
|---|---|
| City | Boston |
| State | Massachusetts (MA) |
| Post Code | 21153782 |
| Phone Number | 6178928374 |
| Fax Number | 6172624021 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 13692 |
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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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What is the unique identification code assigned to Richard Niederman by the Centers for Medicare & Medicaid Services?
The Richard Niederman has been issued the NPI (National Provider Identifier) 1003029679. 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 street address where Richard Niederman is physically located?
The Richard Niederman is physically situated at the following address: 140 Fenway, Boston, MA, 21153782.
What is the Richard Niederman's specialty and taxonomy code?
The Richard Niederman's specialty is Periodontics, and the corresponding taxonomy code is 1223P0300X.
On what date did the Centers for Medicare & Medicaid Services issue the 1003029679 to Richard Niederman?
The Richard Niederman received its 1003029679 assignment from the Centers for Medicare & Medicaid Services on 2007-05-08.
When was the information pertaining to Richard Niederman most recently updated or revised?
The details related to Richard Niederman, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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