Coredental, LLC
Dentist, Periodontics in Quincy, MA. Organization (NPI-2).
NPI number1750828752
StatusActive
Last updated in NPPESMay 4, 2017
Details
- NPI
- 1750828752
- Entity type
- Organization (NPI-2)
- Legal business name
- Coredental, LLC
- Organization subpart
- No
- Enumeration date
- Jan 27, 2017
- Last updated
- May 4, 2017
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 |
|---|---|---|---|---|
| 1223P0300X | Dentist, Periodontics | DN1856376 | MA | Yes |
Practice location
611 Adams StQuincy, MA 02169-1319
Phone 617-479-9191 · Fax 617-481-6635
Mailing address
611 Adams StQuincy, MA 02169-1319
Phone 617-651-5255 · Fax 617-481-6635
Authorized official
Frederick Nafash
Sole Member
6176349393
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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