Healthcare Provider Details

I. General information

NPI: 1376220962
Provider Name (Legal Business Name): BATHSHEBA TURTON DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/05/2023
Last Update Date: 07/05/2023
Certification Date: 07/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

635 ALBANY ST FL 7
BOSTON MA
02118-3550
US

IV. Provider business mailing address

560 HARRISON AVE
BOSTON MA
02118-2436
US

V. Phone/Fax

Practice location:
  • Phone: 617-358-6409
  • Fax:
Mailing address:
  • Phone: 617-358-6409
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223D0001X
TaxonomyPublic Health Dentistry
License NumberDF11929
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: