Rafael Villacorta Family Dentistry
LBN: Rafael Villacorta Family Dentistry
Rafael Villacorta Family Dentistry is an health care organization with primary practice located at 24 Crescent St Suite 303, Waltham MA 02453-4358. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Pathology, which is considered as the primary health care specialty.
Rafael Villacorta Family Dentistry can be contacted via phone (781) 891-5637, or through Villacorta, Rafael E via phone (781) 891-5637.
Contact Information
Primary practice address
24 Crescent St Suite 303
Waltham MA 02453-4358
Phone: (781) 891-5637
Fax: (781) 891-8925
Website:
Authorized official contact:
Name: Villacorta, Rafael E Doctor of Dental Medicine (DMD)
Phone: (781) 891-5637
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Pathology | 1223P0106X | 18063 | Massachusetts |
Profile Details
| NPI number | 1700057346 |
|---|---|
| LBN Legal business name | Rafael Villacorta Family Dentistry |
| DBA Doing business as | |
| Authorized official | Villacorta, Rafael E Doctor of Dental Medicine (DMD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 21st, 2008 |
| Last updated | Mar 21st, 2008 - about 16 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 | 1700057346 | NPPES |
| Massachusetts | MEDICAID | 0274771 | |
| Massachusetts | MEDICAID | 9708049 |
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