Dedham Medical Associates

LBN: Dedham Medical Associates
Dedham Medical Associates is an health care organization with primary practice located at 1 Lyons St , Dedham MA 02026-5599. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Dedham Medical Associates can be contacted via phone (781) 329-1400, or through Russo, Richard M via phone (781) 278-5540.

Contact Information

Primary practice address
1 Lyons St Dedham MA 02026-5599
Phone: (781) 329-1400
Fax: (781) 278-5667
Website:
Map and Directions
Authorized official contact:
Name: Russo, Richard M
Phone: (781) 278-5540

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X Massachusetts

Profile Details

NPI number 1407857030
LBN Legal business name Dedham Medical Associates
DBA Doing business as
Authorized official Russo, Richard M
Entity Organization
Organization subpart 1 No
Enumeration date Aug 4th, 2005
Last updated Jul 21st, 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 1407857030 NPPES
Massachusetts MEDICAID 9766626
Massachusetts MEDICAID 9766634
Massachusetts MEDICAID 9766545
Massachusetts MEDICAID 9766561
Massachusetts MEDICAID 9766553
Massachusetts MEDICAID 9766529
Massachusetts MEDICAID 9766537
Massachusetts MEDICAID 9766588
Massachusetts MEDICAID 9766596
Massachusetts MEDICAID 9766618

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