COREDENTAL, LLC
NPI 1750828752
Dentist - Periodontics in Quincy, MA

Active since January 27, 2017
611 ADAMS ST, QUINCY, MA 02169(617) 479-9191(617) 481-6635 Get Directions Write a Review

NPPES record last updated: May 4, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Coredental, Llc NPPES

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

COREDENTAL, LLC (NPI 1750828752) is a healthcare organization registered as a periodontics in Quincy, Massachusetts and active in the NPI registry since January 2017. The organization lists Frederick Nafash, Sole Member, as its authorized official.

NPPES Registry Identity

NPI1750828752
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameCOREDENTAL, LLC
Location Address611 ADAMS STQuincy, MA 02169-1319
Mailing Address611 Adams StQuincy, MA 02169-1319 · (617) 651-5255 · Fax (617) 481-6635
Fax(617) 481-6635
Organization SubpartNo
Authorized OfficialFrederick NafashSole Member · (617) 634-9393
Enumeration DateJanuary 27, 2017
Last NPPES UpdateMay 4, 2017
NPI 1750828752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License Licensed in MA · DN1856376
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.
611 ADAMS ST, Quincy, MA 02169

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 3

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

Clinic/Center (Dental)
611 ADAMS ST
QUINCY, MA 02169
Dentist (General Practice)
611 ADAMS ST
QUINCY, MA 02169
Dentist (Periodontics)
611 ADAMS ST
QUINCY, MA 02169

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 Coredental, LLC's NPI number?

The NPI number for Coredental, LLC is 1750828752. It was assigned to this organization in the NPPES registry on January 27, 2017.

Where is Coredental, LLC located?

Coredental, LLC is located at 611 Adams St, Quincy, MA 02169. The listed phone number is (617) 479-9191.

What is Coredental, LLC'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 Coredental, LLC was last updated on May 4, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.