| Revere Dentistry And Braces Llc | |
|
370 Broadway Revere MA 02151-5016 | |
| (781) 629-6636 | |
| (781) 629-6034 |
| Full Name | Revere Dentistry And Braces Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 370 Broadway, Revere, Massachusetts |
| Authorized Official Name and Position | Joanne Tavano (CHIEF OPERATING OFFICIER) |
| Authorized Official Contact | 9785801524 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Revere Dentistry And Braces Llc 5 Mount Royal Ave Ste 300 Marlborough MA 01752-1900 Ph: (508) 460-0632 | Revere Dentistry And Braces Llc 370 Broadway Revere MA 02151-5016 Ph: (781) 629-6636 |
| NPI Number | 1154849198 |
|---|---|
| Provider Enumeration Date | 08/30/2017 |
| Last Update Date | 06/02/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154849198 | NPI | - | NPPES |
| 110078301A | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Revere Dental And Orthodontics Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 123 Revere St, Revere, MA 02151 Phone: 617-275-6306 | |
Broadway Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 144 Broadway # 2, Revere, MA 02151 Phone: 781-284-2275 Fax: 781-426-7614 | |
Olufunke Osineye, Dmd, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 651 Squire Rd, Revere, MA 02151 Phone: 617-763-4754 | |
Mehdi Rahmatpour Dmd Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 199 Shirley Ave, Revere, MA 02151 Phone: 781-629-6613 Fax: 617-997-4737 | |
Park Avenue Dental Associates, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Park Ave, Revere, MA 02151 Phone: 781-284-1177 | |
Louis Devito, Jr. Dmd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 385 Broadway, Revere, MA 02151 Phone: 781-289-8080 |