Organization
SOMERVILLE DENTISTRY AND BRACES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANNE TAVANO (CFO)
(978) 580-1524
Entity
Organization
Contact information
Practice address
5 MIDDLESEX AVE STE 305, SOMERVILLE, MA 02145-1110
(508) 872-3072
Mailing address
5 MOUNT ROYAL AVE STE 300, MARLBOROUGH, MA 01752-1900
(508) 723-0725
(508) 872-0781
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN20209
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DN20209
STATE LICENSE
MA
Enumeration date
09/05/2018
Last updated
09/05/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us