Yavner, Susan Beth
Yavner, Susan Beth is an individual health care provider with primary practice located at 101 Main Street Suite #220 , Medford MA 02155. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Yavner, Susan Beth can be contacted via phone (781) 396-2179.Contact Information
Primary practice address
101 Main Street Suite #220
Medford MA 02155
Phone: (781) 396-2179
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 16832 | Massachusetts |
Profile Details
| NPI number | 1497891824 |
|---|---|
| LBN Legal business name | Yavner, Susan Beth |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 30th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1497891824 | NPPES |
| Massachusetts | MEDICAID | 0269948 |
Popular Providers
-
Lepore, Lorenzo
101 Main St Suite 206, Medford MA 02155-4540 -
Schnell, Ronni A
92 High St Dh-12, Medford MA 02155-3850 -
Colaneri, Paul G
101 Main St Suite 206, Medford MA 02155-4540 -
Gentuso, John L.
0 Governors Ave Suite 1, Medford MA 02155-3025 -
Short, Richard A
92 High St Suite 12, Medford MA 02155-3850 -
Carpinito, Renato A
38 High St , Medford MA 02155-3820 -
Zahka, Nabil Suhil
3620 Mystic Valley Pkwy Apt # 507, Medford MA 02155-5758 -
Jaillet, Isabelle Bernadette
397 Main St , Medford MA 02155-6250