MEDICARE: VAST DENTAL 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	DN 1855118	MA

General Provider Information

NPI Number	:	1689003063
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VAST DENTAL LLC

Provider Business Mailing Address
First Line	:	433 WATERTOWN ST
Second Line	:
City	:	NEWTON
State	:	MA
Zip	:	02458-1113
Country	:	US
Telephone Number	:	978-996-5322
Fax Number	:

Provider Business Practice Location Address
First Line	:	433 WATERTOWN ST
Second Line	:
City	:	NEWTON
State	:	MA
Zip	:	02458-1113
Country	:	US
Telephone Number	:	978-996-5322
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. HOANG ANH THU
Credential	:	DMD
Telephone Number	:	978-996-5322

Provider Enumeration Date	:	11/05/2013
Last Update Date	:	11/05/2013

Similar Medicare Providers

1144229444 — MR. KENNETH PAUL BARRINGER LMHC
Practice Location Address:

THE ACADEMY 425 R WATERTOWN ST.
NEWTON, MA
02458-1113

Practice Phone: 617-969-2200
Practice Fax: 617-244-4906

1639722051 — VERONICA MAE CARNEY
Practice Location Address:

425R WATERTOWN ST
NEWTON, MA
02458-1113

Practice Phone: 617-969-2200
Practice Fax:

1619509098 — MAURA KEEFE
Practice Location Address:

425R WATERTOWN ST
NEWTON, MA
02458-1113

Practice Phone: 617-969-2200
Practice Fax:

1780806695 — KATHRYN AA PECK ATC, CMT
Practice Location Address:

1113 WASHINGTON ST.
NEWTON, MA
02465

Practice Phone: 508-245-2922
Practice Fax:

1124651203 — MR. ELIZALDE LEGARDA VILLARUZ APN
Practice Location Address:

1 SLATE HILL RD
NEWTON, NJ
07860-1113

Practice Phone: 973-383-8865
Practice Fax:

1871598946 — NEXT STEP BIONICS AND PROSTHETICS, INC.
Practice Location Address:

57 CHAPEL ST , SUITE 101
NEWTON, MA
02458-1076

Practice Phone: 617-581-6750
Practice Fax: 617-581-6755

Directions to “VAST DENTAL LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.