|
| |
|
1 Kneeland St Clinic Business Office Boston MA 02111-1527 | |
| (617) 636-3746 | |
| (617) 636-6994 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1 Kneeland St, Boston, Massachusetts |
| Authorized Official Name and Position | Beth Ann Conant (DIRECTOR OF FINANCE AND ADMIN) |
| Authorized Official Contact | 6176366842 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1 Kneeland St Clinic Business Office Boston MA 02111-1527 Ph: (617) 636-3746 | 1 Kneeland St Clinic Business Office Boston MA 02111-1527 Ph: (617) 636-3746 |
| NPI Number | 1710100672 |
|---|---|
| Provider Enumeration Date | 04/10/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710100672 | NPI | - | NPPES |
| 0241695 | Medicaid | MA | |
| 0241822 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 4105 (Massachusetts) | Primary |
Yael Frydman Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 50 Staniford St Ste 303, Boston, MA 02114 Phone: 617-523-4555 | |
Jack B Share Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 31 State Street, Boston, MA 02109 Phone: 617-742-1350 Fax: 617-742-2044 | |
Ap Dental Staniford Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 50 Staniford St, Boston, MA 02114 Phone: 978-223-3742 | |
Dental Partners Of Boston Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 50 Staniford St Ste 303, Boston, MA 02114 Phone: 617-523-4555 | |