Convivial Dental Pc

LBN: Convivial Dental Pc
Convivial Dental Pc is an health care organization with primary practice located at 1244 Boylston St Ste 205 , Chestnut Hill MA 02467-2115. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Dental, Ambulatory Health Care Facilities / Multi-Specialty. Ambulatory Health Care Facilities / Dental is the primary health care specialty. Convivial Dental Pc can be contacted via phone (617) 818-0573, or through Zavras, Athanasios via phone (617) 818-0573.

Contact Information

Primary practice address
1244 Boylston St Ste 205 Chestnut Hill MA 02467-2115
Phone: (617) 818-0573
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Zavras, Athanasios D.D.S, M.S, D.M.SC
Phone: (617) 818-0573

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X DN1855922 Massachusetts
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X DN1855922 Massachusetts

Profile Details

NPI number 1689007908
LBN Legal business name Convivial Dental Pc
DBA Doing business as
Authorized official Zavras, Athanasios D.D.S, M.S, D.M.SC
Entity Organization
Organization subpart 1 No
Enumeration date Aug 11th, 2013
Last updated Aug 11th, 2013 - about 11 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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