NPI 1992231062 · live from the CMS NPI Registry
Jia Liu
Dentist, Orthodontics and Dentofacial Orthopedics in Quincy, MA. National Provider Identifier 1992231062, active.
NPI record
| NPI | 1992231062 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 1372 Hancock St Ste 101, Quincy, MA 02169 |
| Practice phone | 617-472-3919 |
| Mailing address | 629 Hammond St Unit E201, Chestnut Hill, MA 02467 |
| Enumerated | May 10, 2017 |
| Last updated | November 15, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | DN1858577 (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.