Mi Dental, Llc
LBN: Mi Dental, Llc
Mi Dental, Llc is an health care organization with primary practice located at 180 Lincoln St Ste 2 , Boston MA 02111-2400. The organization recently has 3 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Pediatric Dentistry, Ambulatory Health Care Facilities / Dental. Ambulatory Health Care Facilities / Dental is the primary health care specialty.
Mi Dental, Llc can be contacted via phone (617) 338-0833, or through Vo, Michelle via phone (617) 306-4449.
Contact Information
Primary practice address
180 Lincoln St Ste 2
Boston MA 02111-2400
Phone: (617) 338-0833
Fax:
Website:
Authorized official contact:
Name: Vo, Michelle Doctor of Dental Medicine (DMD)
Phone: (617) 306-4449
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | ||
| Dental Providers / Pediatric Dentistry | 1223P0221X | ||
| Ambulatory Health Care Facilities / Dental | 261QD0000X |
Profile Details
| NPI number | 1346820479 |
|---|---|
| LBN Legal business name | Mi Dental, Llc |
| DBA Doing business as | |
| Authorized official | Vo, Michelle Doctor of Dental Medicine (DMD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 12th, 2021 |
| Last updated | Apr 12th, 2021 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346820479 | NPPES |
| Massachusetts | MEDICAID | 110022129G |
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