Beacon Dental Group

LBN: Beacon Dental Group
Beacon Dental Group is an health care organization with primary practice located at 1016 Blue Hill Ave , Dorchester Center MA 02124-2808. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Beacon Dental Group can be contacted via phone (617) 282-2146, or through Joseph, Cressida Ladonna via phone (617) 282-2146.

Contact Information

Primary practice address
1016 Blue Hill Ave Dorchester Center MA 02124-2808
Phone: (617) 282-2146
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Joseph, Cressida Ladonna Doctor of Dental Medicine (DMD)
Phone: (617) 282-2146

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 18236 Massachusetts

Profile Details

NPI number 1770756405
LBN Legal business name Beacon Dental Group
DBA Doing business as
Authorized official Joseph, Cressida Ladonna Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 2nd, 2008
Last updated Apr 2nd, 2008 - about 16 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 1770756405 NPPES
Massachusetts MEDICAID 9793771

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