Organization
BCH DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAN WAI NG DDS (DEPARTMENT CHIEF)
(617) 355-6000
Entity
Organization
Contact information
Practice address
300 LONGWOOD AVE, PATIENT FINANCIAL SERVICES ATN STEVEN NICOLL, BOSTON, MA 02115-5724
(617) 355-4831
(617) 730-0080
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00055868
—
NY
05
—
1008455
—
VT
05
—
1200445
—
MA
05
—
149560100
—
ME
05
—
30310052
—
NH
05
—
CH29439
—
RI
01
—
X10875
BLUE CROSS DENTAL
MA
Enumeration date
09/26/2006
Last updated
12/07/2017
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