MISS ESRA M. FADEN
NPI 1124573456
Dentist - Periodontics in Boston, MA

Active since August 16, 2016
1 KNEELAND ST, BOSTON, MA 02111(617) 817-0656 Get Directions Write a Review

NPPES record last updated: August 16, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Miss Esra M. Faden NPPES

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

MISS ESRA M. FADEN (NPI 1124573456) is an individual periodontics provider in Boston, Massachusetts, licensed in Foreign Country (13-J-D-0030293) and active in the NPI registry since August 2016.

NPPES Registry Identity

NPI1124573456
Entity TypeIndividualFemale
Primary Taxonomy1223P0300X
Provider Legal NameMISS ESRA M. FADEN
Location Address1 KNEELAND STBoston, MA 02111-1527
Mailing Address75 Station Lndg, Apt. 526, Medford, MaMedford, MA 02155-5127 · (617) 817-0656
Sole ProprietorNo
Enumeration DateAugust 16, 2016
NPI 1124573456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License Licensed in ZZ · 13-J-D-0030293
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
1 KNEELAND ST, Boston, MA 02111

Other Providers at the Same Location NPPES 20

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

Dentist
1 KNEELAND ST
BOSTON, MA 02111
Student in an Organized Health Care Education/Training Program
1 KNEELAND ST
BOSTON, MA 02111
Student in an Organized Health Care Education/Training Program
1 KNEELAND ST
BOSTON, MA 02111
Dental Assistant
1 KNEELAND ST
BOSTON, MA 02111
Dentist (General Practice)
1 KNEELAND ST
BOSTON, MA 02111
Student in an Organized Health Care Education/Training Program
1 KNEELAND ST
BOSTON, MA 02111
Student in an Organized Health Care Education/Training Program
1 KNEELAND ST
BOSTON, MA 02111
Student in an Organized Health Care Education/Training Program
1 KNEELAND ST
BOSTON, MA 02111

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 Esra Faden's NPI number?

The NPI number for Esra Faden is 1124573456. It was assigned to this individual provider in the NPPES registry on August 16, 2016.

Where is Esra Faden located?

Esra Faden practices at 1 Kneeland St, Boston, MA 02111. The listed phone number is (617) 817-0656.

What is Esra Faden's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Esra Faden was last updated on August 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.