Healthcare Provider Details

I. General information

NPI: 1366593402
Provider Name (Legal Business Name): HEMA KAPADIA DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/16/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 WASHING TON STREET
BOSTON MA
02118
US

IV. Provider business mailing address

PO BOX 908
LINCOLN NH
03251-0908
US

V. Phone/Fax

Practice location:
  • Phone: 167-425-2000
  • Fax: 617-425-2043
Mailing address:
  • Phone: 603-745-8582
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number8243
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: