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
Phone: (617) 432-1434
Fax: (617) 432-4258
Website:
Authorized official contact:
Name: Da Silva, John Doctor of Dental Medicine (DMD)
Phone: (617) 432-1440
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164512570 | NPPES |
| Massachusetts | MEDICAID | 0200140 |
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