Efstathios Pettas, DDS is a
Student In An Organized Health Care Education/training Program based in Boston, Massachusetts. Efstathios Pettas is licensed to practice in * (Not Available) (license number ) and his current practice location is
75 Francis St, Boston, Massachusetts. He can be reached at his office (for appointments etc.) via phone at
(617) 732-6974.
NPI number for Efstathios Pettas is 1457196156 and his current mailing address is 75 Francis St, Boston, Massachusetts. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1457196156.
Healthcare Provider's Profile
| Full Name | Efstathios Pettas |
|---|
| Gender | Male |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 75 Francis St, Boston, Massachusetts |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1457196156
- Provider Enumeration Date: 06/26/2024
- Last Update Date: 07/16/2024
Medical Identifiers
Medical identifiers for Efstathios Pettas such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1457196156 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | DL100207 (Massachusetts) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Efstathios Pettas is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Efstathios Pettas, DDS
75 Francis St,
Boston, MA 02115
Ph: (617) 732-6974 | Efstathios Pettas, DDS
75 Francis St,
Boston, MA 02115
Ph: (617) 732-6974 |
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