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NPI Code Detail

MEDICARE: MELISSA SMITH DMD, PLLC

MEDICARE: MELISSA SMITH DMD, PLLC
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
1122300000XDentist

General Provider Information

NPI Number : 1780354936
Entity Type Code : Organization
Provider Name (Legal Business Name) : MELISSA SMITH DMD, PLLC
Provider Business Mailing Address
First Line : 1244 BOYLSTON ST STE 301
Second Line :
City : CHESTNUT HILL
State : MA
Zip : 02467-2115
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1244 BOYLSTON ST STE 301
Second Line :
City : CHESTNUT HILL
State : MA
Zip : 02467-2115
Country : US
Telephone Number : 617-969-8558
Fax Number :
Authorized Official
Title or Position : DENTIST
Name : MELISSA SMITH
Credential : DMD
Telephone Number : 617-969-8558
Provider Enumeration Date : 09/19/2021
Last Update Date : 09/19/2021

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Directions to “MELISSA SMITH DMD, PLLC ” Practice Location

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