Unknown Individual – Dentist, NPI 1780852277
Dentist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Blue Hill Avenue, Regis Road, Mattapan, Boston, Suffolk County, Massachusetts, 02126, United States
MATTAPAN, MA 021261838
Phone: (617) 296-5500
Fax: (617) 296-5502
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 02126)
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