1. Home
  2. Directory
  3. Massachusetts
  4. Revere
  5. Dentist
  6. NPI Profile

DR. EVELYN A PENNACCHIO DMD
NPI 1083721690
Dentist - General Practice in Revere, MA

Active since August 23, 2006
16 PLEASANT ST, REVERE, MA 02151(781) 286-2800(781) 289-5959 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Evelyn A Pennacchio Dmd NPPES

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

DR. EVELYN A PENNACCHIO DMD (NPI 1083721690) is an individual general practice provider in Revere, Massachusetts, licensed in Massachusetts (16540) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1083721690
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. EVELYN A PENNACCHIOCredential: DMD
Location Address16 PLEASANT STRevere, MA 02151
Mailing Address16 Pleasant StRevere, MA 02151 · (781) 286-2800 · Fax (781) 289-5959
Phone(781) 286-2800
Fax(781) 289-5959
Sole ProprietorNo
Enumeration DateAugust 23, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1083721690 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 · 16540
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.
16 PLEASANT ST, Revere, MA 02151
Open in Google Maps ↗

Other Identifiers 2

OtherX05936MA · Bcbs
Medicare UPINT57715

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 Evelyn Pennacchio's NPI number?

The NPI number for Evelyn Pennacchio is 1083721690. It was assigned to this individual provider in the NPPES registry on August 23, 2006.

Where is Evelyn Pennacchio located?

Evelyn Pennacchio practices at 16 Pleasant St, Revere, MA 02151. The listed phone number is (781) 286-2800.

What is Evelyn Pennacchio'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 Evelyn Pennacchio was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.