NPI 1053010504 · live from the CMS NPI Registry
Charles River Orthodontics, PLLC
Dentist, Orthodontics and Dentofacial Orthopedics in Needham, MA. National Provider Identifier 1053010504, active.
NPI record
| NPI | 1053010504 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 331 Chestnut St, Needham, MA 02492 |
| Practice phone | 781-444-8282 |
| Enumerated | February 23, 2023 |
| Last updated | February 23, 2023 |
| Authorized official | Nina Khedkar, Owner/Doctor |
| Other names | Charles River Orthodontics |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.