| Bch Dental Group | |
|
300 Longwood Ave Patient Financial Services Atn Steven Nicoll Boston MA 02115-5724 | |
| (617) 355-4831 | |
| (617) 730-0080 |
| Full Name | Bch Dental Group |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 300 Longwood Ave, Boston, Massachusetts |
| Authorized Official Name and Position | Man Wai Ng (DEPARTMENT CHIEF) |
| Authorized Official Contact | 6173556000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bch Dental Group 300 Longwood Ave Boston MA 02115-5724 Ph: (617) 355-6000 | Bch Dental Group 300 Longwood Ave Patient Financial Services Atn Steven Nicoll Boston MA 02115-5724 Ph: (617) 355-4831 |
| NPI Number | 1699876318 |
|---|---|
| Provider Enumeration Date | 09/26/2006 |
| Last Update Date | 12/07/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699876318 | NPI | - | NPPES |
| 1008455 | Medicaid | VT | |
| 30310052 | Medicaid | NH | |
| CH29439 | Medicaid | RI | |
| 00055868 | Medicaid | NY | |
| X10875 | Other | MA | BLUE CROSS DENTAL |
| 1200445 | Medicaid | MA | |
| 149560100 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (Massachusetts) | Primary |
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