Dr Joseph Lemuel De Leon, DMD | |
31 Park Dr, Apt 9, Boston, MA 02215-4916 | |
(413) 835-5268 | |
Not Available |
Full Name | Dr Joseph Lemuel De Leon |
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Gender | Male |
Speciality | Dentist |
Location | 31 Park Dr, Boston, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1720232143 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 9813 (Massachusetts) | Secondary |
122300000X | Dentist | DN1857105 (Massachusetts) | Primary |
Entity Name | Brigham & Womens Hospital Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790717650 PECOS PAC ID: 4385554732 Enrollment ID: O20040407000771 |
Mailing Address | Practice Location Address |
---|---|
Dr Joseph Lemuel De Leon, DMD 250 Mount Vernon St, Dorchester, MA 02125-3120 Ph: (617) 228-1140 | Dr Joseph Lemuel De Leon, DMD 31 Park Dr, Apt 9, Boston, MA 02215-4916 Ph: (413) 835-5268 |
Dr. Rocio Saavedra, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1 Kneeland St, Boston, MA 02111 Phone: 617-636-6971 | |
Richard Niederman, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 140 Fenway, Boston, MA 02115 Phone: 617-892-8374 Fax: 617-262-4021 | |
Armida Dano, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 635 Tremont St, Boston, MA 02118 Phone: 617-424-0606 | |
Daimery Heinstein, Dentist Medicare: Medicare Enrolled Practice Location: 274 Newbury St, Boston, MA 02116 Phone: 617-262-0106 | |
Dr. Jeffrey Brian Reardon, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 300 Longwood Ave # Hu226, Boston, MA 02115 Phone: 617-355-4426 | |
Jacob Fortenberry, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 635 Albany St, Boston, MA 02118 Phone: 601-278-0923 | |
Dr. Richard Rothstein, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 274 Newbury St, Boston, MA 02116 Phone: 617-262-0106 |