MI DENTAL, LLC
Dentist (General Practice)

Address: 180 Lincoln St Ste 2, Boston, MA 02111-2400

MI DENTAL, LLC (NPI# 1346820479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346820479
Entity Type Organization
Organization Name MI DENTAL, LLC
Practice Address 180 Lincoln St Ste 2
Boston
MA 02111-2400
Practice Telephone 6173380833
Mailing Address 180 Lincoln St Ste 2
Boston
MA 02111-2400
Mailing Telephone 6173380833
Certification Date 2021-04-12
Enumeration Date 2021-04-12
Last Update Date 2021-04-12
Authorized Official Telephone 6173064449
Authorized Official Credential DMD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
N 1223G0001X Dentist
Specialization: General Practice
193200000X MULTI-SPECIALTY GROUP Dental Providers
N 1223P0221X Dentist
Specialization: Pediatric Dentistry
193200000X MULTI-SPECIALTY GROUP Dental Providers
Y 261QD0000X Clinic/Center
Specialization: Dental
Ambulatory Health Care Facilities

Other Provider Identifiers

Identifier State Issuer Type Code
110022129G MA MEDICAID

Other Provider/Organization Names

Other Name Type Code
Leather District Dental Doing Business As Name

Associated Endpoints

Endpoint Type Endpoint Affiliation Affiliation Address Use Content
CONNECT URL leatherdistrictdental.com (website) 180 Lincoln St Ste 2, Boston, MA 021112400 Direct CSV

Office Location

Street Address 180 LINCOLN ST STE 2
City BOSTON
State MA
Zip Code 02111-2400

Providers in the same location

NPI Name Taxonomy Address Enumeration
1386933422 Chester Chen Dental Hygienist 180 Lincoln St Ste 2a, Boston, MA 02111-2400 2011-03-29

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1265564728 Joseph Y. Ng Dentist - General Practice 180 Lincoln St, Suite 2a, Boston, MA 02111-2400 2007-03-11
1366692824 The Dental Collaborative, P.C. Clinic/Center - Dental 180 Lincoln St, Suite 2a, Boston, MA 02111-2400 2008-09-22

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1689271397 Maximilian Richert Counselor 25 Kingston St, 4r, Boston, MA 02111 2020-10-06
1558978957 Tien-Hsin Chang Student in an Organized Health Care Education/Training Program 1 Kneeland Street (tufts University School of Dental Me, Boston, MA 02111 2020-09-29
1346850187 Meng Zhang Nutritionist 145 South Street, Wic/Nutrition Department, Boston, MA 02111 2020-08-06
1134745243 Alireza Darnahal Student in an Organized Health Care Education/Training Program Tufts University School of Dental Medicine, Boston, MA 02111 2020-06-24
1275157497 Stephen Houran Behnke Psychologist - Clinical Massachusetts Mental Health Center, 75 Fenwood Road, Boston, MA 02111 2020-06-03
1548883465 Elizabeth Carter Stapleton Dentist - Orthodontics and Dentofacial Orthopedics Tufts School of Dental Medicine: Dept of Orthodontics, 1 Kneeland Street, Boston, MA 02111 2020-05-27
1932729597 Jacob Joseph Kosarchuk Neurological Surgery 800 Washington Street, Proger 7, Boston, MA 02111 2020-04-23
1164051868 Daniele Abela Surgery 860 Washington Street, South Building, 4th Floor, Boston, MA 02111 2020-04-04
1184265258 Jade Orthodontics Dentist - Orthodontics and Dentofacial Orthopedics 30 Kneeland St, Suite 301, Boston, MA 02111 2019-09-30
1932753639 Loukia Kamille Danaf Student in an Organized Health Care Education/Training Program 1 Kneeland Street, Tufts University School of Dental Me, Boston, MA 02111 2019-07-31
Find all providers in zip 02111

Taxonomy Information

Taxonomy Code 261QD0000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Dental

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114533866 Cdg Back Bay LLC Clinic/Center - Dental 400 Commonwealth Ave 3rd Floor, Boston, MA 02215 2020-09-18
1386258531 Beacon Dental Health PC · Oliver Dental Associates Clinic/Center - Dental 295 Devonshire St Ste 301, Boston, MA 02110-1266 2020-09-04
1831703099 Beacon Dental Health PC · Norwell - Perio/Implant Clinic/Center - Dental 198 Tremont St Ste 436, Boston, MA 02116-4705 2020-09-04
1407465743 Beacon Dental Health PC Clinic/Center - Dental 21 Merchants Row Ste 2a, Boston, MA 02109-2040 2020-07-22
1720642143 Akradi Dental, LLC Clinic/Center - Dental 21 Bay State Rd # 3, Boston, MA 02215-2101 2019-05-01
1124595111 Bespoke Dental Boston Clinic/Center - Dental 11 Newbury St Fl 4, Boston, MA 02116-3138 2018-10-28
1851871081 Boston Premier Dentistry, PC Clinic/Center - Dental 10 Tremont St Ste 402, Boston, MA 02108-2062 2018-08-16
1376032292 Boston Park Dental Group Clinic/Center - Dental 128a Tremont St Fl 3, Boston, MA 02108-4716 2018-05-07
1447752563 Kristen Choe Dority, Dmd, PC · Parkside Dental Care Clinic/Center - Dental 37 Newbury St Ste 3, Boston, MA 02116-3428 2018-03-05
1639682305 Boston Dental Partners LLC · Washington Park Dental Clinic/Center - Dental 330 Martin Luther King Blvd, Boston, MA 02119-1868 2017-11-15
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Competitor

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City BOSTON
Zip Code 02111

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.