Dental 1, P.C.
Dentist, General Practice in Milton, MA. Organization (NPI-2).
NPI number1801100136
StatusActive
Last updated in NPPESJul 28, 2010
Details
- NPI
- 1801100136
- Entity type
- Organization (NPI-2)
- Legal business name
- Dental 1, P.C.
- Organization subpart
- No
- Enumeration date
- Jul 28, 2010
- Last updated
- Jul 28, 2010
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 |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | DN21661 | MA | Yes |
Practice location
480 Adams StSuite 104
Milton, MA 02186-4914
Phone 617-698-0600
Mailing address
480 Adams StSuite 104
Milton, MA 02186-4914
Phone 617-698-0600
Authorized official
Ai-Phuong Pham
President
6176980600
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