Fernandes, Irene

Fernandes, Irene is an individual health care provider with primary practice located at 100 E Newton St G-716, Boston MA 02118-2308. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Endodontics. Dental Providers / Endodontics is her primary health care specialty. Fernandes, Irene can be contacted via phone (617) 638-4636.

Contact Information

Primary practice address
100 E Newton St G-716 Boston MA 02118-2308
Phone: (617) 638-4636
Fax: (617) 638-5322
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DL12642 Massachusetts
Dental Providers / Endodontics 1223E0200X 2952000744 Michigan

Profile Details

NPI number 1952785230
LBN Legal business name Fernandes, Irene
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2015
Last updated Sep 13th, 2021 - about 5 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.

Request for update

Popular Providers