Citidental, Llc

LBN: Citidental, Llc
Citidental, Llc is an health care organization with primary practice located at 63 Court St , Boston MA 02108-2109. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Citidental, Llc can be contacted via phone (617) 723-6300, or through Khadivi, Peyman via phone (617) 723-6300.

Contact Information

Primary practice address
63 Court St Boston MA 02108-2109
Phone: (617) 723-6300
Fax: (617) 723-1717
Website:
Map and Directions
Authorized official contact:
Name: Khadivi, Peyman Doctor of Dental Surgery (DDS)
Phone: (617) 723-6300

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 18609 Massachusetts

Profile Details

NPI number 1831390368
LBN Legal business name Citidental, Llc
DBA Doing business as
Authorized official Khadivi, Peyman Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date May 31st, 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 1831390368 NPPES
Massachusetts Other X12378 BLUECROSS BLUESHIELD
Massachusetts Other 1725478 BLUECROSS BLUESHIELD

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