Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
SOUTH BOSTON DENTAL ASSOCIATES
Active
Organization
SOUTH BOSTON DENTAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP BARBER M.D. (PARTNER)
(617) 268-1030
Entity
Organization
Contact information
Practice address
29 FARRAGUT RD, SOUTH BOSTON, MA 02127-1714
(617) 268-1030
Mailing address
29 FARRAGUT RD, SOUTH BOSTON, MA 02127-1714
(617) 268-1030
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
X10143
BLUE CROSS BLUE SHIELD
—
Enumeration date
05/02/2007
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up