Perico Back Bay, Llc

LBN: Perico Back Bay, Llc
Perico Back Bay, Llc is an health care organization with primary practice located at 400 Commonwealth Ave. 3Rd Flr. , Boston MA 02215. The organization recently has only one registered license in Dental Providers / Periodontics, which is considered as the primary health care specialty. Perico Back Bay, Llc can be contacted via phone (617) 456-9714, or through Reiser, Gary M. via phone (617) 456-9714.

Contact Information

Primary practice address
400 Commonwealth Ave. 3Rd Flr. Boston MA 02215
Phone: (617) 456-9714
Fax: (617) 266-9530
Website:
Map and Directions
Authorized official contact:
Name: Reiser, Gary M. Doctor of Dental Surgery (DDS)
Phone: (617) 456-9714

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X Massachusetts

Profile Details

NPI number 1699105734
LBN Legal business name Perico Back Bay, Llc
DBA Doing business as
Authorized official Reiser, Gary M. Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 26th, 2013
Last updated Nov 26th, 2013 - about 11 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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