Cheney, Wendy Ruth

Cheney, Wendy Ruth is an individual health care provider with primary practice located at 30 Warren St , Brighton MA 02135-3602. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is her primary health care specialty. Cheney, Wendy Ruth can be contacted via phone (617) 254-3800.

Contact Information

Primary practice address
30 Warren St Brighton MA 02135-3602
Phone: (617) 254-3800
Fax: (617) 779-1484
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 19265 Massachusetts
Dental Providers / Pediatric Dentistry 1223P0221X 19265 Massachusetts

Profile Details

NPI number 1063418085
LBN Legal business name Cheney, Wendy Ruth
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2005
Last updated Jan 30th, 2008 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063418085 NPPES
Massachusetts MEDICAID 0281158

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