| Carlos Isava, DDS | |
|
250 Mount Vernon St, Dorchester, MA 02125-3120 | |
| (617) 788-1140 | |
| (617) 288-3910 |
| Full Name | Carlos Isava |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 250 Mount Vernon St, Dorchester, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093791592 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 10647 (Massachusetts) | Primary |
| Entity Name | Harbor Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659330496 PECOS PAC ID: 0345146213 Enrollment ID: O20120419000209 |
| Mailing Address | Practice Location Address |
|---|---|
| Carlos Isava, DDS 1135 Morton St, Mattapan, MA 02126-2834 Ph: (617) 533-2300 | Carlos Isava, DDS 250 Mount Vernon St, Dorchester, MA 02125-3120 Ph: (617) 788-1140 |
Ning Zhang, DMD Dentist Medicare: Medicare Enrolled Practice Location: 250 Mount Vernon St, Dorchester, MA 02125 Phone: 617-288-1140 Fax: 617-288-3910 | |
Hena Himatbhai Kothia, Dentist Medicare: Not Enrolled in Medicare Practice Location: 632 Blue Hill Ave, Dorchester, MA 02121 Phone: 617-825-3400 | |
Nelsys Luciana Hernandez, Dentist Medicare: Not Enrolled in Medicare Practice Location: 632 Blue Hill Ave, Dorchester, MA 02121 Phone: 617-825-3400 | |
Diandra Filomena Gabriel, DO Dentist Medicare: Not Enrolled in Medicare Practice Location: 632 Blue Hill Ave, Dorchester, MA 02121 Phone: 617-825-3400 | |
Dr. Reynaldo Christy Riboul, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 12 Grant St Unit 2, Dorchester, MA 02125 Phone: 347-217-7963 | |
Dr. Uduak Anako-okereke, D.M.D Dentist Medicare: Not Enrolled in Medicare Practice Location: 632 Blue Hill Ave, Dorchester, MA 02121 Phone: 617-825-3400 Fax: 617-825-7217 | |
Dr. Charles M Malkemus, DDS, JD Dentist Medicare: Medicare Enrolled Practice Location: 166 Columbia Rd, Dorchester, MA 02121 Phone: 617-445-9880 Fax: 617-445-5746 |