DR. PEACH B DORE-TYRELL (NPI# 1497968952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497968952 |
| Entity Type | Individual |
| Full Name | DR. PEACH B DORE-TYRELL |
| Credential | DMD |
| Practice Address |
172 Ashmont St. Dorchester MA 02124 |
| Mailing Address |
720 Canton Ave Milton MA 02186 |
| Practice Telephone | 6172882920 |
| Practice Fax Number | 6172882992 |
| Mailing Telephone | 6172987165 |
| Mailing Fax Number | 6172882992 |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2008-08-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
19161 | MA | Dental Providers |
| Street Address |
172 ASHMONT ST. |
| City | DORCHESTER |
| State | MA |
| Zip Code | 02124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679109599 | Yolanda Barner | Behavioral Analyst | 241 Norfolk St, Dorchester, MA 02124 | 2020-03-23 |
| 1144878489 | Marissa Sneed | Case Manager/Care Coordinator | 1059 Tremont St Suit 2, Roxbury Crossing, ME 02124 | 2019-08-29 |
| 1407413487 | Adrian Velasquez Md LLC | Internal Medicine | 2110 Dorchester Ave Ste 205, Seton Building, Dorchester, MA 02124 | 2019-05-24 |
| 1164908794 | Genesis 365 Care LLC | Home Health Aide | 114 Fuller St # 1, Dorchester, MA 02124 | 2018-07-17 |
| 1821581422 | Prince Nwaford | Psychologist | 176 Harvard Street, 2, Boston, MA 02124 | 2018-06-08 |
| 1073026753 | Massachusetts Chiropractic Center LLC | Chiropractor | 879-881 Blue Hill Avenue, Dorchester, MA 02124 | 2017-11-16 |
| 1770096620 | Aly Tran | Behavior Technician | 232 Centre St, Dorchester, MA 02124 | 2017-11-14 |
| 1326564386 | Mildred R Gomez | Community Health Worker | 108 Norfolk St, Dorchester, MA 02124 | 2017-08-21 |
| 1871025585 | Dwight Dorcy | Assistant Behavior Analyst | 7 Samoset St # 3, Dorchester, MA 02124 | 2017-03-31 |
| 1346793452 | Jennie Lee | Nurse Practitioner | 425 Harvard St, Dorchester, MA 02124 | 2016-07-26 |
| Find all providers in zip 02124 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073136933 | Reynaldo Christy Riboul | Dentist | 12 Grant St Unit 2, Dorchester, MA 02125-1223 | 2020-05-26 |
| 1134652175 | Sage Family Dental | Dentist | 114 Washington Street, Dorchester, MA 02121 | 2017-04-06 |
| 1699133314 | Divya Upadhyay | Dentist | 614 Blue Hill Ave, Dorchester, MA 02121-3257 | 2016-02-09 |
| 1508176595 | Hoangvu M Vo | Dentist | 1370 Dorchester Ave # 32, Dorchester, MA 02122-2921 | 2010-10-08 |
| 1134378656 | Xuan Duong | Dentist | 1417 Dorchester Ave, Dorchester, MA 02122-2915 | 2008-09-09 |
| 1144341603 | Nathan Quoc Duong | Dentist | 253 Adams St, Dorchester, MA 02122-1334 | 2007-04-03 |
| 1942334198 | John A Sifakis | Dentist | 771 Adams St, Dorchester, MA 02122-1919 | 2007-03-16 |
| 1588704399 | Michael Peter Folan | Dentist | 722 Adams St, Dorchester, MA 02122-1921 | 2007-02-08 |
| 1730243684 | Frank T Nghiem | Dentist | 1510 Dorchester Ave, 1510 Dorchester Ave, Dorchester, MA 02122-1327 | 2006-12-21 |
| 1114090131 | Michael Gibson | Dentist | 424 E Center Avenue, Dorchester, WI 54425-0236 | 2006-11-16 |
| Find all providers in DORCHESTER | ||||
| City | DORCHESTER |
| Zip Code | 02124 |
Please comment or provide details below to improve the information on DR. PEACH B DORE-TYRELL.
| 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.