MEDICARE: DENTAL PRO LLC

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	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1457223851
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DENTAL PRO LLC

Provider Business Mailing Address
First Line	:	449 MASSACHUSETTS AVE
Second Line	:
City	:	ARLINGTON
State	:	MA
Zip	:	02474-5103
Country	:	US
Telephone Number	:	617-607-2083
Fax Number	:	617-714-9808

Provider Business Practice Location Address
First Line	:	449 MASSACHUSETTS AVE
Second Line	:
City	:	ARLINGTON
State	:	MA
Zip	:	02474-5103
Country	:	US
Telephone Number	:	617-607-2083
Fax Number	:	617-714-9808

Authorized Official
Title or Position	:	GENERAL DENTIST
Name	:	DR. YOUNG AH CHOI
Credential	:	DMD
Telephone Number	:	617-607-2083

Provider Enumeration Date	:	09/23/2025
Last Update Date	:	04/30/2026

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Directions to “DENTAL PRO LLC ” Practice Location

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