MEDICARE: DIANA LI DMD PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist

General Provider Information

NPI Number	:	1699621904
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DIANA LI DMD PLLC

Provider Business Mailing Address
First Line	:	6 PARKER ST
Second Line	:
City	:	ARLINGTON
State	:	MA
Zip	:	02474-8833
Country	:	US
Telephone Number	:	617-412-5477
Fax Number	:

Provider Business Practice Location Address
First Line	:	1035 BEACON ST
Second Line	:
City	:	BROOKLINE
State	:	MA
Zip	:	02446-5655
Country	:	US
Telephone Number	:	617-412-5477
Fax Number	:

Authorized Official
Title or Position	:	DENTIST
Name	:	DR. DIANA LI
Credential	:	DMD
Telephone Number	:	617-412-5477

Provider Enumeration Date	:	03/09/2026
Last Update Date	:	03/09/2026

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