MELROSE FAMILY DENTAL PC NPI 1942751953

NPI Information

NPI: 1942751953
Provider Name: MELROSE FAMILY DENTAL PC
Classification: Dentist - 1223P0700X
Entity Type: Organization

Specialization: Prosthodontics

Address:
12 PORTER ST
MELROSE, MA
ZIP 02176
Phone: (781) 665-1552
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MELROSE FAMILY DENTAL PC is a prosthodontics dentist in Melrose, MA. The provider is that branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. MELROSE FAMILY DENTAL PC NPI is 1942751953. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

12 PORTER ST
MELROSE, MA
ZIP 02176-810
Phone: (781) 665-1552

The provider's authorized official is Alaaeddin Alwazzan .
The authorized official title is Owner and has the following contact phone number (617) 669-9839.

The enumeration date for this NPI number is 10/14/2016 and was last updated on 10/14/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	122300000X	Dentist		DN1855140	MASSACHUSETTS	No
2	122300000X	Dentist		DN13354	MASSACHUSETTS	No
3	1223P0700X	Dentist	Prosthodontics	DN22162	MASSACHUSETTS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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