Mattapan Smiles Youth Dentistry, Llc is a Dental Clinic in Mattapan, Massachusetts. It is located at 90 River St, Mattapan, MA and its contact number is 617-698-5437. The authorized person for Mattapan Smiles Youth Dentistry, Llc is Mrs. Jenell Stump
who is Manager, Licensing & Credentialing of the clinic and their contact number is 615-750-0343. Other organizations associated with this clinic are New England Family Dentistry, Pc, Mattapan Smiles Youth Dentistry, Llc, Mattapan Smiles Youth Dentistry, Llc Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Mattapan Smiles Youth Dentistry, Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Mattapan Smiles Youth Dentistry, Llc
Specialization:
General Practice Dentistry
Clinic Address:
90 River St, Mattapan, Massachusetts, 02126-2914
Phone:
617-698-5437
Fax:
617-698-5435
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Mrs. Jenell Stump
Position:
Manager, Licensing & Credentialing
Contact Number:
615-750-0343
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Mattapan Smiles Youth Dentistry, Llc clinic are as mentioned below.
NPI Number:
1619065901
NPI Enumeration Date:
11 Oct, 2006
NPI Last Update On:
09 Jul, 2014
Other Associated Organizations:
Other organizations which are associated with this clinic are as mentioned below. These organization share the same address but have similar or different specialization.
Speciality of these organizations are also mentioned below.
Name
Specialization
NPI Number
New England Family Dentistry, Pc
Endodontics
1376944165
Mattapan Smiles Youth Dentistry, Llc
General Practice Dentistry
1619065901
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mattapan Smiles Youth Dentistry, Llc are as mentioned below.
Specialization
License Number
State
Status
General Practice
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
110070846A
Medicaid
Massachusetts
9753231
Medicaid
Massachusetts
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Patients can reach Mattapan Smiles Youth Dentistry, Llc at 90 River St, Mattapan, Massachusetts or can call to book an appointment on 617-698-5437. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.