Harvard Dental Center Fgp

LBN: President And Fellows Of Harvard College
Harvard Dental Center Fgp is an health care organization with primary practice located at 188 Longwood Ave , Boston MA 02115-5819. The organization recently has 6 registered licenses in different health care specialties including Dental Providers / Endodontics, Dental Providers / General Practice, Dental Providers / Periodontics, Dental Providers / Prosthodontics, Dental Providers / Oral and Maxillofacial Surgery, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / General Practice is the primary health care specialty. President And Fellows Of Harvard College can be contacted via phone (617) 432-1434, or through Da Silva, John via phone (617) 432-1440.

Contact Information

Primary practice address
188 Longwood Ave Boston MA 02115-5819
Fax: (617) 432-4258
Website:
Authorized official contact:
Name: Da Silva, John Doctor of Dental Medicine (DMD)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X 12762 Massachusetts
Dental Providers / General Practice 1223G0001X 17724 Massachusetts
Dental Providers / Periodontics 1223P0300X 16638 Massachusetts
Dental Providers / Prosthodontics 1223P0700X 16484 Massachusetts
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 14710 Massachusetts
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 9239 Massachusetts

Profile Details

NPI number 1164512570
LBN Legal business name President And Fellows Of Harvard College
DBA Doing business as Harvard Dental Center Fgp
Authorized official Da Silva, John Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 14th, 2006
Last updated Feb 17th, 2016 - about 8 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 1164512570 NPPES
Massachusetts MEDICAID 0200140

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