Central Square Family Dental Pc

LBN: Central Square Family Dental Pc
Central Square Family Dental Pc is an health care organization with primary practice located at 714 Massachusetts Ave , Cambridge MA 02139-3308. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Central Square Family Dental Pc can be contacted via phone (617) 868-9400, or through Faigel, Julia via phone (617) 868-9400.

Contact Information

Primary practice address
714 Massachusetts Ave Cambridge MA 02139-3308
Phone: (617) 868-9400
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Faigel, Julia Doctor of Dental Medicine (DMD)
Phone: (617) 868-9400

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 20485 Massachusetts

Profile Details

NPI number 1407907249
LBN Legal business name Central Square Family Dental Pc
DBA Doing business as
Authorized official Faigel, Julia Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 16th, 2007
Last updated Aug 22nd, 2020 - about 4 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 1407907249 NPPES
Massachusetts MEDICAID 0203980

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