Dr. Peter J. Mortelliti, DDS.
Dentist, General Practice in Boston, MA. Individual provider (NPI-1).
NPI number1720149883
StatusActive
Last updated in NPPESNov 14, 2023
Details
- NPI
- 1720149883
- Entity type
- Individual (NPI-1)
- Name
- Dr. Peter J. Mortelliti
- Credential
- DDS.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 13, 2006
- Certification date
- Nov 14, 2023
- Last updated
- Nov 14, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · ORDER AND REFERRING ONLY - DENTIST
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- 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 |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | DN13263 | MA | Yes |
Practice location
1 International PlBoston, MA 02110-2602
Phone 617-330-8887
Mailing address
47 Ladds WayScituate, MA 02066-1901
Phone 617-462-3244
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