Agamov, Alla
Agamov, Alla is an individual health care provider with primary practice located at 47 Pond St Unit 3 , Sharon MA 02067-2044. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is her primary health care specialty. Agamov, Alla can be contacted via phone (781) 784-8435.Contact Information
Primary practice address
47 Pond St Unit 3
Sharon MA 02067-2044
Phone: (781) 784-8435
Fax: (784) 784-6598
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | 20247 | Massachusetts |
Dental Providers / General Practice | 1223G0001X | 20247 | Massachusetts |
Profile Details
NPI number | 1427273267 |
---|---|
LBN Legal business name | Agamov, Alla |
Credentials | Doctor of Dental Medicine (DMD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 16th, 2007 |
Last updated | May 25th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1427273267 | NPPES |
Massachusetts | Other | MA1084778C | MSCR |
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