Maverick Family Dental Pc

LBN: Maverick Family Dental Pc
Maverick Family Dental Pc is an health care organization with primary practice located at 45 Maverick Sq , East Boston MA 02128-2312. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Maverick Family Dental Pc can be contacted via phone (617) 567-3800, or through Faigel, Julia via phone (617) 567-3800.

Contact Information

Primary practice address
45 Maverick Sq East Boston MA 02128-2312
Phone: (617) 567-3800
Fax: (617) 567-3802
Website:
Map and Directions
Authorized official contact:
Name: Faigel, Julia Doctor of Dental Medicine (DMD)
Phone: (617) 567-3800

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 20485 Massachusetts

Profile Details

NPI number 1912058421
LBN Legal business name Maverick Family Dental Pc
DBA Doing business as
Authorized official Faigel, Julia Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 13th, 2007
Last updated Apr 3rd, 2008 - about 16 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 1912058421 NPPES
Massachusetts MEDICAID 0203980

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