Chaturvedula, Mytrei
Chaturvedula, Mytrei is an individual health care provider with primary practice located at 111 Grossman Dr , Braintree MA 02184-4997. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Chaturvedula, Mytrei can be contacted via phone (781) 849-2255.Contact Information
Primary practice address
111 Grossman Dr
Braintree MA 02184-4997
Phone: (781) 849-2255
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 20388 | Massachusetts |
Profile Details
| NPI number | 1174592786 |
|---|---|
| LBN Legal business name | Chaturvedula, Mytrei |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 16th, 2006 |
| Last updated | Apr 7th, 2009 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174592786 | NPPES |
| Massachusetts | Other | X09110 | BCBS - DENTAL |
| Massachusetts | Other | AA23419 | BCBS - DENTAL |
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