NPI 1639408925 · live from the CMS NPI Registry
Arch Orthodontics, PC
Dentist, Orthodontics and Dentofacial Orthopedics in Hyde Park, MA. National Provider Identifier 1639408925, active.
NPI record
| NPI | 1639408925 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 1259 Hyde Park Ave, Hyde Park, MA 02136 |
| Practice phone | 617-364-2161 |
| Mailing address | 5 Walnut Ave, Stoughton, MA 02072 |
| Enumerated | December 15, 2009 |
| Last updated | December 15, 2009 |
| Authorized official | Lucilia Cobb, Office Manager |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics | 1223X0400X | 11954 (MA) |
| Dentist, Orthodontics and Dentofacial Orthopedics | 1223X0400X | 021147 (MA) |
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 18813 (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.