Phuongdao Dmd Llc

LBN: Phuongdao Dmd Llc
Phuongdao Dmd Llc is an health care organization with primary practice located at 910 Broadway Fl 1 , Everett MA 02149-3126. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Phuongdao Dmd Llc can be contacted via phone (617) 389-8317, or through Dao, Phuong Thi via phone (617) 389-8317.

Contact Information

Primary practice address
910 Broadway Fl 1 Everett MA 02149-3126
Phone: (617) 389-8317
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Dao, Phuong Thi Doctor of Dental Medicine (DMD)
Phone: (617) 389-8317

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 17573 Massachusetts

Profile Details

NPI number 1003176512
LBN Legal business name Phuongdao Dmd Llc
DBA Doing business as
Authorized official Dao, Phuong Thi Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date May 18th, 2012
Last updated May 18th, 2012 - about 13 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 1003176512 NPPES
Massachusetts Other X06225 BLUE CROSS BLUE SHIELD
Massachusetts MEDICAID 0276685 BLUE CROSS BLUE SHIELD

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