Cottrell, David Alden
Cottrell, David Alden is an individual health care provider with primary practice located at 100 E Newton Street G407, Boston MA 02118-2308. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Cottrell, David Alden can be contacted via phone (617) 638-4350.Contact Information
Primary practice address
100 E Newton Street G407
Boston MA 02118-2308
Phone: (617) 638-4350
Fax: (617) 638-4365
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 18089 | Massachusetts |
Profile Details
| NPI number | 1821012212 |
|---|---|
| LBN Legal business name | Cottrell, David Alden |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 27th, 2006 |
| Last updated | Jul 9th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821012212 | NPPES |
| Massachusetts | Other | X06764 | BCBS |
| Massachusetts | MEDICAID | 0276065 | BCBS |
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