| Minnah & Korn Orthodontics on Newbury Street | |
|
115 Newbury St Ste 501 Boston MA 02116-2971 | |
| (617) 536-0365 | |
| Not Available |
| Full Name | Minnah & Korn Orthodontics on Newbury Street |
|---|---|
| Speciality | Dentist |
| Location | 115 Newbury St Ste 501, Boston, Massachusetts |
| Authorized Official Name and Position | Nithya Minnah (ORTHODONTIST/OWNER) |
| Authorized Official Contact | 6175360365 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Minnah & Korn Orthodontics on Newbury Street 115 Newbury St Ste 501 Boston MA 02116-2971 Ph: (617) 536-0365 | Minnah & Korn Orthodontics on Newbury Street 115 Newbury St Ste 501 Boston MA 02116-2971 Ph: (617) 536-0365 |
| NPI Number | 1770945404 |
|---|---|
| Provider Enumeration Date | 03/22/2016 |
| Last Update Date | 09/19/2024 |
| Certification Date | 09/19/2024 |
| Medicare PECOS PAC ID | 1951824010 |
|---|---|
| Medicare Enrollment ID | O20250328002737 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770945404 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | () | Primary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | () | Secondary |
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