Longwood Dental Group in Brookline - Dental Laboratory Technician
Longwood Dental Group - NPI 1033233713
Longwood Dental Group is a Dental Laboratory Technician in Brookline, Massachusetts. Longwood Dental Group practices all healthcare services and medical treatments related to Dental Laboratory Technician. The NPI Number for Longwood Dental Group is 1033233713. The last update date is 2020-08-22.
Longwood Dental Group's current location address is 1842 Beacon St, Brookline, Massachusetts. You can contact this provider via phone number 6175665445 and fax number 6177308482. The mailing address for Longwood Dental Group is 1842 Beacon St, Brookline, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Longwood Dental Group |
|---|---|
| Address | 1842 Beacon St, Brookline, Massachusetts |
| Phone Number | 6175665445 |
| Fax Number | 6177308482 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Kiladjian Berdj |
| Credentials | DMD |
| Telephone Number | 6175665445 |
NPI Number Detail
| NPI Number | 1033233713 |
|---|---|
| Provider Enumeration Date | 2007-03-19 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1842 Beacon St |
|---|---|
| City | Brookline |
| State | Massachusetts (MA) |
| Post Code | 24451930 |
| Phone Number | 6175665445 |
| Fax Number | 6177308482 |
Provider's Primary Taxonomy Detail
| Speciality | Dental Laboratory Technician |
|---|---|
| Taxonomy | 126900000X |
|
Definition: An individual who has the skill and knowledge in the fabrication of dental appliances, prostheses and devices in accordance with a dentist's laboratory work authorization. To avoid misleading the public, no occupational title other than dental labora |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Longwood Dental Group?
The Longwood Dental Group has been issued the NPI (National Provider Identifier) 1033233713 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Longwood Dental Group's facilities are situated?
The facilities of Longwood Dental Group are physically located at the following address: 1842 Beacon St, Brookline, MA, 24451930.
What is the Longwood Dental Group's specialty and taxonomy code?
The Longwood Dental Group's specialty is Dental Laboratory Technician, and the corresponding taxonomy code is 126900000X.
On what date did the Longwood Dental Group receive the assignment of its 1033233713 from the Centers for Medicare & Medicaid Services?
The Longwood Dental Group was issued its 1033233713 by the Centers for Medicare & Medicaid Services on 2007-03-19.
As of what date was the information regarding Longwood Dental Group, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Longwood Dental Group, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.
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