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REVERE DENTAL AND ORTHODONTICS PC
NPI 1053180208
Dentist - General Practice in Revere, MA

Active since December 29, 2023
123 REVERE ST, REVERE, MA 02151(617) 275-6306 Get Directions Write a Review

NPPES record last updated: December 29, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Revere Dental And Orthodontics Pc NPPES

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

REVERE DENTAL AND ORTHODONTICS PC (NPI 1053180208) is a healthcare organization registered as a general practice in Revere, Massachusetts and active in the NPI registry since December 2023. The organization lists Neetu Bansal, Owner, as its authorized official.

NPPES Registry Identity

NPI1053180208
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameREVERE DENTAL AND ORTHODONTICS PC
Location Address123 REVERE STRevere, MA 02151-4439
Mailing Address8 Brighton St Apt 3Charlestown, MA 02129-1260 · (617) 275-6306 · Fax (617) 997-0030
Phone(617) 275-6306
Organization SubpartNo
Authorized OfficialNeetu BansalOwner · (617) 275-6306
Enumeration DateDecember 29, 2023
NPPES CertifiedDecember 29, 2023
✔ NPI 1053180208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
Also ListedDentistTaxonomy 122300000X
Also ListedDentist · Orthodontics and Dentofacial OrthopedicsTaxonomy 1223X0400X
123 REVERE ST, Revere, MA 02151
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LYNN FAMILY DENTAL AND ORTHODONTICS PC
Dentist
123 REVERE ST
REVERE, MA 02151
Suffolk County (617) 401-8298
DR. CHRISTOPHER THOMAS DIPIETRO D.M.D.
Dentist (General Practice)
123 REVERE ST
REVERE, MA 02151
Suffolk County (781) 284-6826
DR. WILLIAM EUGENE DIPIETRO D.M.D.
Dentist (General Practice)
123 REVERE ST
REVERE, MA 02151
Suffolk County (781) 284-6826
DR. REBECCA RANKO PACCONE D.M.D.
Dentist (General Practice)
123 REVERE ST
REVERE, MA 02151
Suffolk County (781) 284-6826
DIPIETRO FAMILY DENTAL CARE, INC.
Dentist (General Practice)
123 REVERE ST
REVERE, MA 02151
Suffolk County (781) 284-6826

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 Revere Dental And Orthodontics PC's NPI number?

The NPI number for Revere Dental And Orthodontics PC is 1053180208. It was assigned to this organization in the NPPES registry on December 29, 2023.

Where is Revere Dental And Orthodontics PC located?

Revere Dental And Orthodontics PC is located at 123 Revere St, Revere, MA 02151. The listed phone number is (617) 275-6306.

What is Revere Dental And Orthodontics PC'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 Revere Dental And Orthodontics PC was last updated on December 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.