DR. ITALO LOZADA (NPI# 1548321235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548321235 |
| Entity Type | Individual |
| Full Name | DR. ITALO LOZADA |
| Credential | DMD |
| Practice Address |
1518 Hancock St Quincy MA 02169-5205 |
| Mailing Address |
164 Newton St Brookline MA 02445-7427 |
| Practice Telephone | 6174713600 |
| Enumeration Date | 2006-12-13 |
| 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 |
19177 | MA | Dental Providers |
| Street Address |
1518 HANCOCK ST |
| City | QUINCY |
| State | MA |
| Zip Code | 02169-5205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518030550 | Jan A Sapak | Dentist | 1518 Hancock St, Quincy, MA 02169-5205 | 2006-11-16 |
| 1063879377 | Roua Al Timimi | Dentist | 1518 Hancock St, Quincy, MA 02169-5205 | 2016-01-19 |
| 1508247701 | Omar Alazizi | Dentist | 1518 Hancock St, Quincy, MA 02169-5205 | 2015-06-12 |
| 1821499922 | Mohamed Amer | Dentist | 1518 Hancock St, Quincy, MA 02169-5205 | 2014-09-08 |
| 1184970766 | Olga Krikunenko | Dentist | 1518 Hancock St, Quincy, MA 02169-5205 | 2012-08-01 |
| 1770852527 | Gentle Dental Quincy | Clinic/Center | 1518 Hancock St, Quincy, MA 02169-5205 | 2011-12-23 |
| 1780860429 | Katerina Pellino | Dentist | 1518 Hancock St, Quincy, MA 02169-5205 | 2008-01-11 |
| 1306900329 | Mona Kelada | Dentist | 1518 Hancock St, Quincy, MA 02169-5205 | 2006-12-21 |
| 1114088051 | Nicholas E Affara | Dentist | 1518 Hancock St, Quincy, MA 02169-5205 | 2006-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902427933 | Trinasia Jones | Counselor | 80 Quarry Street, 3, Quincy, MA 02169 | 2020-04-30 |
| 1164060778 | Bid-milton Physician Associates Inc | Clinic/Center | 100 Walter J. Hannon Pkwy, Quincy, MA 02169 | 2019-12-13 |
| 1669028064 | Renee Yvette Belisle | Occupational Therapist | 1266 Furnance Brook Parkway, Suite #100b, Quincy, MA 02169 | 2019-08-13 |
| 1952953713 | Phuc Thi Diem Ho | Registered Nurse | 18 Rustic Place, Quincy, MA 02169 | 2019-07-11 |
| 1518451939 | Lucille Jordan | Social Worker | 1175 Sea St, Quincy, MA 02169 | 2018-06-19 |
| 1326567447 | Tara Barney | Counselor | 290 Quarry Street Apt. 112, Quincy, MA 02169 | 2017-09-11 |
| 1295251007 | Iona Dental, P.C. (parent Organization) | Dentist | 10 Granite Street, Unit - 4c, Quincy, MA 02169 | 2017-08-15 |
| 1730610247 | Amy S. Chung | Family Medicine | 100 Walter J. Hannon Parkway, Quincy, MA 02169 | 2017-03-26 |
| 1205377314 | Wing Man Ting | Counselor | 2 Moon Island Road, Quincy, MA 02169 | 2017-03-09 |
| 1740726223 | Cameron James Dumas | Pharmacist | 21 23 Stanhope Street, Boston, MA 02169 | 2017-01-09 |
| Find all providers in zip 02169 | ||||
| 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 |
|---|---|---|---|---|
| 1518267525 | Khanh Xuan Le | Dentist | 66 Mayor Thomas J Mcgrath Hwy, Quincy, MA 02169-5347 | 2010-10-25 |
| 1962720219 | Sandra Morin | Dentist | 1372 Hancock Street 204, Quincy, MA 02169 | 2010-05-12 |
| 1841441649 | Frederick F Nafash | Dentist | 611 Adams St, Quincy, MA 02169-1319 | 2008-10-10 |
| 1295916948 | David Darwin Wright | Dentist | 1200 Hampshire St, Quincy, IL 62301-3109 | 2007-11-23 |
| 1518158591 | Carlos Abboud | Dentist | 333 Ricciuti Dr., Suite 1003, Quincy, MA 02169 | 2007-08-06 |
| 1588854384 | Mohamed Hassan | Dentist | 858 E Squantum St, Quincy, MA 02171-1227 | 2007-07-27 |
| 1942721063 | Yolanda Ho | Dentist | 505 Washington St, Quincy, MA 02169-5834 | 2017-06-28 |
| 1750828752 | Coredental, LLC | Dentist | 611 Adams St, Quincy, MA 02169-1319 | 2017-01-27 |
| 1649430422 | Yi Julia Yang | Dentist | 24 Adams St, Quincy, MA 02169-2018 | 2008-06-14 |
| 1710177696 | Excell Family Dental, PC | Dentist | 1261 Furnace Brook Pkwy, #24, Quincy, MA 02169-4721 | 2007-07-27 |
| Find all providers in QUINCY | ||||
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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.