South Boston Dental Associates

LBN: South Boston Dental Associates
South Boston Dental Associates is an health care organization with primary practice located at 29 Farragut Rd , South Boston MA 02127-1714. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. South Boston Dental Associates can be contacted via phone (617) 268-1030, or through Barber, Philip via phone (617) 268-1030.

Contact Information

Primary practice address
29 Farragut Rd South Boston MA 02127-1714
Phone: (617) 268-1030
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Barber, Philip Doctor of Medicine (MD)
Phone: (617) 268-1030

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1356563316
LBN Legal business name South Boston Dental Associates
DBA Doing business as
Authorized official Barber, Philip Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 2nd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1356563316 NPPES
Other X10143 BLUE CROSS BLUE SHIELD

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