Healthcare Provider Details

I. General information

NPI: 1457885766
Provider Name (Legal Business Name): QUIVET PARTNERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2017
Last Update Date: 04/26/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

363 PLEASANT ST
BELMONT MA
02478-3245
US

IV. Provider business mailing address

363 PLEASANT ST
BELMONT MA
02478-3245
US

V. Phone/Fax

Practice location:
  • Phone: 617-484-2245
  • Fax:
Mailing address:
  • Phone: 617-484-2245
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License Number
License Number State

VIII. Authorized Official

Name: DR. SARAH E RICHARDSON
Title or Position: SOLE MEMBER/OWNER
Credential: DMD
Phone: 617-484-2245