DR. BRUCE D SHOICKET (NPI# 1437217064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437217064 |
| Entity Type | Individual |
| Full Name | DR. BRUCE D SHOICKET |
| Credential | DMD |
| Practice Address |
1753 Massachusetts Avenue Suite 2 Cambridge MA 02140-2218 |
| Practice Telephone | 6176618920 |
| Practice Fax Number | 6176618989 |
| Mailing Telephone | 6176618920 |
| Mailing Fax Number | 6176618989 |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
12515 | MA | Dental Providers |
| Street Address |
1753 MASSACHUSETTS AVENUE SUITE 2 |
| City | CAMBRIDGE |
| State | MA |
| Zip Code | 02140-2218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942819784 | Bluesky Telepsych, Inc. | Psychiatry & Neurology | 125 Cambridge Park Drive, Suite 306, Cambridge, MA 02140 | 2020-07-28 |
| 1043837990 | Nancy Villa | Community/Behavioral Health | 10 Concord Tpke, Cambridge, MA 02140 | 2020-06-26 |
| 1356976625 | Jennifer Ahonen | Nurse Practitioner | 36 White Street, Cambridge, MA 02140 | 2020-03-07 |
| 1366961120 | Boston Eye Care Center, LLC | Ophthalmology | 2464 Massachusetts Ave Ste 200, Cambridge, MA 02140 | 2017-09-13 |
| 1992225015 | Figen Esen | Student in an Organized Health Care Education/Training Program | 160 Cabridgepark Drive, Apt 295, Cambridge, MA 02140 | 2017-06-20 |
| 1063870038 | Kelli Swensen | Dietitian, Registered | 160 Cambridge Park Dr, 168, Cambridge, MA 02140 | 2016-02-05 |
| 1851731822 | Gabriella Maree Pugliese | Pharmacist | 822 Somerville Ave, Cambridge, MA 02140 | 2013-07-04 |
| 1609211531 | Hyuna Lee | Dentist | 160 Cambridgepark Drive, Suite 390, Cambridge, MA 02140 | 2013-05-06 |
| 1740555366 | Aesook Kwon | Registered Nurse | 1493 Cambrige St, Cambridge Hospital, Cambrige, MA 02140 | 2012-03-14 |
| 1740557743 | In Sync Physical Therapy, LLC | Clinic/Center | 1798a Massachusetts Avenue, Suite 2, Cambridge, MA 02140 | 2011-11-19 |
| Find all providers in zip 02140 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790330298 | Cambridge Periodontics LLC | Dentist | 1692 Massachusetts Ave Ste 3, Cambridge, MA 02138 | 2019-08-02 |
| 1063809101 | Corneliu Sima | Dentist | 245 First St Ste 17, Forsyth Faculty Associates, Cambridge, MA 02142-1292 | 2015-04-15 |
| 1295971992 | Donna M. Ponte Pereira, Dmd, LLC | Dentist | 826 Cambridge St, Cambridge, MA 02141-1402 | 2008-12-30 |
| 1699944058 | Michael Todd Cwiklinski | Dentist | 4 Van Norden St, Apt. 1, Cambridge, MA 02140-2518 | 2008-02-29 |
| 1770770422 | Frank G Oppenheim | Dentist | 1692 Mass Ave, Cambridge, MA 02138-1803 | 2007-09-26 |
| 1700896164 | Cambridge Periodontics | Dentist | 1692 Massachusetts Avenue, Cambridge, MA 02138 | 2006-08-09 |
| 1588133946 | Massachusetts Institute of Technology | Dentist | 25 Carleton St, Cambridge, MA 02142-1323 | 2018-11-15 |
| 1497045397 | Flavia R. Teles | Dentist | 245 First St, Cambridge, MA 02142-1200 | 2011-04-12 |
| 1982901997 | Thomas Elliott Vandyke | Dentist | 245 First St, Suite 1756, Cambridge, MA 02142-1200 | 2011-02-28 |
| 1184937682 | Patrick Shannon | Dentist | 1692 Massachusetts Ave, Cambridge, MA 02138-1878 | 2010-07-26 |
| Find all providers in CAMBRIDGE | ||||
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| 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.