Youstina Graice
Dentist in Roxbury, MA. Individual provider (NPI-1).
NPI number1699595207
StatusActive
Last updated in NPPESOct 16, 2024
Details
- NPI
- 1699595207
- Entity type
- Individual (NPI-1)
- Name
- Youstina Graice
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 16, 2024
- Certification date
- Oct 16, 2024
- Last updated
- Oct 16, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | DL100530 | MA | Yes |
Practice location
1290 Tremont StRoxbury, MA 02120-3432
Phone 617-989-3232
Mailing address
1290 Tremont StRoxbury, MA 02120-3432
Phone 617-989-3232
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 35 Dentist providers in Roxbury · All 1,152 providers in Roxbury
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