South Boston Dental Associates in South Boston - Dental
South Boston Dental Associates - NPI 1356563316
South Boston Dental Associates is a Dental in South Boston, Massachusetts. South Boston Dental Associates practices all healthcare services and medical treatments related to Dental. The NPI Number for South Boston Dental Associates is 1356563316. The last update date is 2020-08-22.
South Boston Dental Associates's current location address is 29 Farragut Rd, South Boston, Massachusetts. You can contact this provider via phone number 6172681030. The mailing address for South Boston Dental Associates is 29 Farragut Rd, South Boston, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | South Boston Dental Associates |
|---|---|
| Address | 29 Farragut Rd, South Boston, Massachusetts |
| Phone Number | 6172681030 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PARTNER |
|---|---|
| Authorized Official Name | Barber Philip |
| Credentials | M.D. |
| Telephone Number | 6172681030 |
NPI Number Detail
| NPI Number | 1356563316 |
|---|---|
| Provider Enumeration Date | 2007-05-02 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 29 Farragut Rd |
|---|---|
| City | South Boston |
| State | Massachusetts (MA) |
| Post Code | 21271714 |
| Phone Number | 6172681030 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dental |
|---|---|
| Taxonomy | 261Qd0000X |
|
Definition: Provides general and specialized dental care and oral surgery. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| X10143 | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to South Boston Dental Associates by the Centers for Medicare & Medicaid Services?
The South Boston Dental Associates has been assigned the NPI (National Provider Identifier) 1356563316 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where South Boston Dental Associates is physically located?
The South Boston Dental Associates is situated at the following address: 29 Farragut Rd, South Boston, MA 21271714.
What is South Boston Dental Associates's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for South Boston Dental Associates is Dental, and the corresponding taxonomy classification code for this specialized field is 261Qd0000X.
When did South Boston Dental Associates receive its 1356563316 assignment?
The South Boston Dental Associates was assigned its 1356563316 on 2007-05-02, which is the date when this unique identifier was issued to the organization.
When was the South Boston Dental Associates's information last updated?
The South Boston Dental Associates's information was last updated on 2020-08-22.
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