Moody Street Dental
LBN: Mikhail Shulkin Dds Pc
Moody Street Dental is an health care organization with primary practice located at 509 Moody Street , Waltham MA 02453. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty.
Mikhail Shulkin Dds Pc can be contacted via phone (781) 894-0889, or through Shlkinu, Mikhail via phone (781) 894-0889.
Contact Information
Primary practice address
509 Moody Street
Waltham MA 02453
Phone: (781) 894-0889
Fax: (781) 891-6857
Website:
Authorized official contact:
Name: Shlkinu, Mikhail Doctor of Dental Surgery (DDS)
Phone: (781) 894-0889
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 20431 | Massachusetts |
Profile Details
| NPI number | 1356563035 |
|---|---|
| LBN Legal business name | Mikhail Shulkin Dds Pc |
| DBA Doing business as | Moody Street Dental |
| Authorized official | Shlkinu, Mikhail Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 3rd, 2007 |
| Last updated | Aug 22nd, 2020 - about 6 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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