Richard M Kondrat in Brighton - Periodontics
Richard M Kondrat - NPI 1396881223
Richard M Kondrat is a Periodontics in Brighton, Massachusetts. Richard M Kondrat practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Richard M Kondrat is 1396881223. The last update date is 2007-07-08.
Richard M Kondrat's current location address is 77 Warren St, Brighton, Massachusetts. You can contact this provider via phone number 6175625210 and fax number 6177825049. The mailing address for Richard M Kondrat is 77 Warren St, Brighton, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard M Kondrat |
|---|---|
| Address | 77 Warren St, Brighton, Massachusetts |
| Phone Number | 6175625210 |
| Fax Number | 6177825049 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1396881223 |
|---|---|
| Provider Enumeration Date | 2007-01-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 77 Warren St |
|---|---|
| City | Brighton |
| State | Massachusetts (MA) |
| Post Code | 21353601 |
| Phone Number | 6175625210 |
| Fax Number | 6177825049 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 14635 |
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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 10-digit identifier code issued to Richard M Kondrat by the Centers for Medicare & Medicaid Services?
The Richard M Kondrat has been assigned the NPI (National Provider Identifier) 1396881223 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Richard M Kondrat's facilities are geographically located?
The facilities of Richard M Kondrat are physically situated at the following location: 77 Warren St, Brighton, MA, 21353601.
What is the Richard M Kondrat's area of specialization and corresponding taxonomy classification?
The Richard M Kondrat's specialty field is Periodontics, and it falls under the taxonomy code 1223P0300X, which categorizes healthcare providers based on their specialties.
When did the Richard M Kondrat receive its 1396881223?
The Richard M Kondrat was issued its 1396881223 on 2007-01-29, which is the date when the organization was assigned this unique identifier.
When was the information regarding Richard M Kondrat most recently updated?
The details pertaining to the Richard M Kondrat, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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