Apollo Dental Ass.

LBN: Apollo Dental Ass.
Apollo Dental Ass. is an health care organization with primary practice located at 413 Mass Ave , Cambridge MA 02139-4102. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Apollo Dental Ass. can be contacted via phone (617) 354-1678, or through Bui, Dieutrang via phone (617) 354-1678.

Contact Information

Primary practice address
413 Mass Ave Cambridge MA 02139-4102
Phone: (617) 354-1678
Fax: (617) 534-2927
Website:
Map and Directions
Authorized official contact:
Name: Bui, Dieutrang Doctor of Dental Medicine (DMD)
Phone: (617) 354-1678

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 19385 Massachusetts

Profile Details

NPI number 1902090632
LBN Legal business name Apollo Dental Ass.
DBA Doing business as
Authorized official Bui, Dieutrang Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 6th, 2007
Last updated Jun 11th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902090632 NPPES
Massachusetts MEDICAID 9703195

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