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PHUONGDAO DMD LLC
NPI 1003176512
Dentist - General Practice in Everett, MA

Active since May 18, 2012
910 BROADWAY FL 1, EVERETT, MA 02149(617) 389-8317 Get Directions Write a Review

NPPES record last updated: May 18, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Phuongdao Dmd Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHUONGDAO DMD LLC (NPI 1003176512) is a healthcare organization registered as a general practice in Everett, Massachusetts and active in the NPI registry since May 2012. The organization lists Phuong Thi Dao, Owner, as its authorized official.

NPPES Registry Identity

NPI1003176512
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePHUONGDAO DMD LLC
Location Address910 BROADWAY FL 1Everett, MA 02149-3126
Mailing Address910 Broadway Fl 1Everett, MA 02149-3126 · (617) 389-8317
Phone(617) 389-8317
Organization SubpartNo
Authorized OfficialPhuong Thi DaoOwner · (617) 389-8317
Enumeration DateMay 18, 2012
✔ NPI 1003176512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MA · 17573
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
910 BROADWAY FL 1, Everett, MA 02149
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Other Identifiers 2

Medicaid0276685MA
OtherX06225MA · Blue Cross Blue Shield

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phuongdao Dmd LLC's NPI number?

The NPI number for Phuongdao Dmd LLC is 1003176512. It was assigned to this organization in the NPPES registry on May 18, 2012.

Where is Phuongdao Dmd LLC located?

Phuongdao Dmd LLC is located at 910 Broadway Fl 1, Everett, MA 02149. The listed phone number is (617) 389-8317.

What is Phuongdao Dmd LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Phuongdao Dmd LLC was last updated on May 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.