Heard, Elissa
Heard, Elissa is an individual health care provider with primary practice located at 111 Willard St 1B, Quincy MA 02169. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Heard, Elissa can be contacted via phone (617) 471-8640.Contact Information
Primary practice address
111 Willard St 1B
Quincy MA 02169
Phone: (617) 471-8640
Fax: (617) 471-8640
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 13671 | Massachusetts |
Profile Details
| NPI number | 1407917552 |
|---|---|
| LBN Legal business name | Heard, Elissa |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 13th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1407917552 | NPPES |
| Other | 4983 | BCBS | |
| Other | 1131 | BCBS |
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