NPI 1093061749 · live from the CMS NPI Registry
Arlington Dental Associates PC
Dentist in Arlington, MA. National Provider Identifier 1093061749, active.
NPI record
| NPI | 1093061749 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist 122300000X |
| Practice location | 22 Mill St Ste 104, Arlington, MA 02476 |
| Practice phone | 781-648-0279 |
| Mailing address | 22 Mill Street, Suite 104, Arlington, MA 02476 |
| Enumerated | July 31, 2012 |
| Last updated | January 5, 2021 |
| Authorized official | Abhishek Jain, Administrator |
| Other names | Dental Associates Of Arlington |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Dentist Anesthesiologist Speciality | 1223D0004X | — (MA) |
| Dentist, Endodontics | 1223E0200X | — (MA) |
| Dentist, General Practice | 1223G0001X | — (MA) |
| Dentist, Oral and Maxillofacial Pathology | 1223P0106X | — (MA) |
| Dentist, Pediatric Dentistry | 1223P0221X | — (MA) |
| Dentist, Periodontics | 1223P0300X | — (MA) |
| Dentist, Prosthodontics | 1223P0700X | — (MA) |
| Dentist, Oral and Maxillofacial Surgery | 1223S0112X | — (MA) |
| Dentist, Orthodontics and Dentofacial Orthopedics | 1223X0400X | — (MA) |
| Dental Hygienist | 124Q00000X | — (MA) |
| Dental Assistant | 126800000X | — (MA) |
| Family Medicine, Sleep Medicine | 207QS1201X | — |
| Internal Medicine, Sleep Medicine | 207RS0012X | — |
| Clinic/Center, Sleep Disorder Diagnostic | 261QS1200X | — |
| Dentist primary | 122300000X | — (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.