Dr Kelley Marie Dentino, DMD in Boston, MA

Dr Kelley Marie Dentino, DMD is a medicare enrolled "Dentist" provider in Boston, Massachusetts. Her current practice location is 300 Longwood Ave, Department Of Plastic & Oral Surgery, Boston, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (414) 861-0912.

Dr Kelley Marie Dentino is licensed to practice in Massachusetts (license number DN1856732) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1609276120.

Contact Information

	Dr Kelley Marie Dentino, DMD
	300 Longwood Ave, Department Of Plastic & Oral Surgery, Boston, MA 02115-5724
	(414) 861-0912
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Kelley Marie Dentino
Gender	Female
Speciality	Dentist
Location	300 Longwood Ave, Boston, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609276120
Provider Enumeration Date: 09/03/2014
Last Update Date: 09/03/2014

Medicare PECOS Information:

PECOS PAC ID: 2961716881
Enrollment ID: I20150805007081

Medical Identifiers

Medical identifiers for Dr Kelley Marie Dentino such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609276120	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	DN1856732 (Massachusetts)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kelley Marie Dentino is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Kelley Marie Dentino, DMD 300 Longwood Ave, Enders #1006, Boston, MA 02115-5724 Ph: (414) 861-0912	Dr Kelley Marie Dentino, DMD 300 Longwood Ave, Department Of Plastic & Oral Surgery, Boston, MA 02115-5724 Ph: (414) 861-0912

Reviews and Comments

Dentist in Boston, MA

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

Dr Kelley Marie Dentino, DMD - Medicare Dentist in Boston, MA