Periodontics Dental Implants Of Greater Boston in Somerville - Periodontics
Periodontics Dental Implants Of Greater Boston - NPI 1437316825
Periodontics Dental Implants Of Greater Boston is a Periodontics in Somerville, Massachusetts. Periodontics Dental Implants Of Greater Boston practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Periodontics Dental Implants Of Greater Boston is 1437316825. The last update date is 2008-05-22.
Periodontics Dental Implants Of Greater Boston's current location address is 30 College Ave, Somerville, Massachusetts. You can contact this provider via phone number 6177767676 and fax number 6177767677. The mailing address for Periodontics Dental Implants Of Greater Boston is 30 College Ave, Somerville, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Periodontics Dental Implants Of Greater Boston |
|---|---|
| Address | 30 College Ave, Somerville, Massachusetts |
| Phone Number | 6177767676 |
| Fax Number | 6177767677 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER/DOCT |
|---|---|
| Authorized Official Name | Ostrer-Potapov Sofia |
| Credentials | DDS |
| Telephone Number | 6177767676 |
NPI Number Detail
| NPI Number | 1437316825 |
|---|---|
| Provider Enumeration Date | 2008-05-22 |
| Last Updated Date | 2008-05-22 |
Provider Mailing Address Detail
| Address | 30 College Ave |
|---|---|
| City | Somerville |
| State | Massachusetts (MA) |
| Post Code | 21441914 |
| Phone Number | 6177767676 |
| Fax Number | 6177767677 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
|
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 Periodontics Dental Implants Of Greater Boston's 1437316825?
The Periodontics Dental Implants Of Greater Boston's NPI (National Provider Identifier) Number is 1437316825. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Periodontics Dental Implants Of Greater Boston located?
The Periodontics Dental Implants Of Greater Boston is located at 30 College Ave, Somerville, MA 21441914.
What is Periodontics Dental Implants Of Greater Boston's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Periodontics Dental Implants Of Greater Boston is Periodontics, and the taxonomy code that classifies this field of practice is 1223P0300X.
When was the Periodontics Dental Implants Of Greater Boston's 1437316825 issued?
The Periodontics Dental Implants Of Greater Boston's 1437316825 was issued on 2008-05-22.
When was the information regarding Periodontics Dental Implants Of Greater Boston most recently updated?
The details pertaining to the Periodontics Dental Implants Of Greater Boston, including its address, specialty, and other relevant information, were last refreshed on 2008-05-22.