DR. ITALLO EMIDIO LIRA VIANA DDS, MSC, PHD
NPI 1144060658
Dentist - General Practice in Boston, MA

Active since May 31, 2024
25 MORRISSEY BLVD UNIT 1205, BOSTON, MA 02125(857) 313-5993 Get Directions Write a Review

NPPES record last updated: May 31, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Itallo Emidio Lira Viana Dds, Msc, Phd NPPES

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

DR. ITALLO EMIDIO LIRA VIANA DDS, MSC, PHD (NPI 1144060658) is an individual general practice provider in Boston, Massachusetts, licensed in Massachusetts (DF12023) and active in the NPI registry since May 2024. He maintains a secondary practice location in Boston.

NPPES Registry Identity

NPI1144060658
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. ITALLO EMIDIO LIRA VIANACredential: DDS, MSC, PHD
Location Address25 MORRISSEY BLVD UNIT 1205Boston, MA 02125-3355
Mailing Address25 Morrissey Blvd Unit 1205Boston, MA 02125-3355 · (857) 313-5993
Sole ProprietorNo
Enumeration DateMay 31, 2024
NPPES CertifiedMay 31, 2024
NPI 1144060658 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 · DF12023
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.
25 MORRISSEY BLVD UNIT 1205, Boston, MA 02125

Secondary Practice Location 1

Location 11 Kneeland St Rm 452CBoston, MA 02111-1527 · Phone (617) 636-6814

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 Itallo Lira Viana's NPI number?

The NPI number for Itallo Lira Viana is 1144060658. It was assigned to this individual provider in the NPPES registry on May 31, 2024.

Where is Itallo Lira Viana located?

Itallo Lira Viana practices at 25 Morrissey Blvd Unit 1205, Boston, MA 02125. The listed phone number is (857) 313-5993.

What is Itallo Lira Viana'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 Itallo Lira Viana was last updated on May 31, 2024. 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.