Mgh Dental Group

LBN: Massachusetts General Physicians Organization
Mgh Dental Group is an health care organization with primary practice located at 165 Cambridge St Suite 401, Boston MA 02114-2783. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Massachusetts General Physicians Organization can be contacted via phone (617) 726-1076, or through Lau, Agnes via phone (617) 726-1076.

Contact Information

Primary practice address
165 Cambridge St Suite 401 Boston MA 02114-2783
Phone: (617) 726-1076
Fax: (617) 724-6681
Website:
Map and Directions
Authorized official contact:
Name: Lau, Agnes Doctor of Dental Medicine (DMD)
Phone: (617) 726-1076

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 16139 Massachusetts

Profile Details

NPI number 1265583199
LBN Legal business name Massachusetts General Physicians Organization
DBA Doing business as Mgh Dental Group
Authorized official Lau, Agnes Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 16th, 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 1265583199 NPPES
Massachusetts Other 1364 DELTA DENTAL SPECIALIST
Massachusetts Other 774 DELTA DENTAL SPECIALIST
Massachusetts MEDICAID 9762779 DELTA DENTAL SPECIALIST

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