Ace Dental West Roxbury, Pllc

LBN: Ace Dental West Roxbury, Pllc
Ace Dental West Roxbury, Pllc is an health care organization with primary practice located at 1840 Centre St , West Roxbury MA 02132-1901. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Ace Dental West Roxbury, Pllc can be contacted via phone (617) 327-5700, or through Kim, Shawn via phone (617) 361-5020.

Contact Information

Primary practice address
1840 Centre St West Roxbury MA 02132-1901
Fax:
Website:
Authorized official contact:
Name: Kim, Shawn Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1679225114
LBN Legal business name Ace Dental West Roxbury, Pllc
DBA Doing business as
Authorized official Kim, Shawn Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 26th, 2022
Last updated Jan 26th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679225114 NPPES
Massachusetts Other DN1856147 DENTAL LICENSE NUMBER

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