DR. ILYA L GARIBYAN (NPI# 1588079370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588079370 |
| Entity Type | Individual |
| Full Name | DR. ILYA L GARIBYAN |
| Credential | DMD |
| Practice Address |
810 Main St Melrose MA 02176-2711 |
| Mailing Address |
336 Plaza Rd N Apt A Fair Lawn NJ 07410-3640 |
| Practice Telephone | 7816626228 |
| Mailing Telephone | 6176421077 |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2019-01-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
DN1858201 | MA | Dental Providers |
| Street Address |
810 MAIN ST |
| City | MELROSE |
| State | MA |
| Zip Code | 02176-2711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386635514 | Melissa M Lackey | Dentist | 810 Main St, Melrose, MA 02176-2711 | 2005-11-05 |
| 1457693772 | Scott Roberts Goldberg | Dentist | 810 Main St, Melrose, MA 02176-2711 | 2013-03-25 |
| 1568409902 | Melrose Wakefield Oral Surgery Inc. | Dentist | 810 Main St, Melrose, MA 02176-2711 | 2006-06-02 |
| 1346221827 | Francis J Mcnamara | Dentist | 810 Main St, Melrose, MA 02176-2711 | 2005-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699384826 | Edrine Astremont | Registered Nurse | 414 Malden, Massachusetts, NY 02176 | 2020-07-23 |
| 1194203919 | Caroline Bregman | Social Worker | 12 Howard St, Melrose, MA 02176 | 2018-08-02 |
| 1386167682 | Carmen Alicia Fernandez | Community/Behavioral Health | 24 Lynde St, Melrose, MA 02176 | 2017-07-19 |
| 1518316116 | Sheila Kelley | Physical Therapist | 15 Green Street, Melrose, MA 02176 | 2016-06-06 |
| 1083049712 | Randi A Brown | Counselor | 610 A Main Street, Melrose, MA 02176 | 2013-09-12 |
| 1306121488 | Frank Anthony Pennacchio | Pharmacist | 17 Coolidge Road, Melrose, MA 02176 | 2011-10-20 |
| 1245401751 | Meaghan Rudolph | Registered Nurse | 11 Stratford Rd, Melrose, MA 02176 | 2008-03-13 |
| 1104039726 | Judy E Bushee | Custodial Care Facility | The Toole Nursing Home, 92 Franklin Street, Melrose, MA 02176 | 2007-05-08 |
| 1811012776 | Mark Joseph Gianatassio | Dentist | 820 Lynn Fells, Melrose, MA 02176 | 2007-03-20 |
| 1154452993 | City of Melrose | Local Education Agency (LEA) | 360 Lynn Fells Parkway, Melrose, MA 02176 | 2007-03-07 |
| Find all providers in zip 02176 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386635514 | Melissa M Lackey | Dentist | 810 Main St, Melrose, MA 02176-2711 | 2005-11-05 |
| 1457693772 | Scott Roberts Goldberg | Dentist | 810 Main St, Melrose, MA 02176-2711 | 2013-03-25 |
| 1568409902 | Melrose Wakefield Oral Surgery Inc. | Dentist | 810 Main St, Melrose, MA 02176-2711 | 2006-06-02 |
| 1346221827 | Francis J Mcnamara | Dentist | 810 Main St, Melrose, MA 02176-2711 | 2005-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114573508 | Newton Dentistry PC | Dentist | 73 Lexington Street, Suite 204, Newton, MA 02466 | 2019-08-13 |
| 1700432143 | Middleboro Oral Surgeons, PC | Dentist | 47 Bedford St Unit 3, Middleboro, MA 02346-1047 | 2019-08-12 |
| 1508420621 | Nantucket Oral Surgery Pllc | Dentist | 19 1/2 Surfside Drive, Nantucket, MA 02554 | 2019-04-24 |
| 1750844080 | C.m.f.-cranio-maxillofacial Surgery Associates | Dentist | 366 Broadway Ste 100, Somerville, MA 02145-2812 | 2019-04-12 |
| 1669938130 | Milagros Serrano Dds, PC | Dentist | 1842 Beacon St Ste 303, Brookline, MA 02445-1922 | 2019-02-20 |
| 1669960027 | New England Family Dentistry,pc | Dentist | 366 Cooley St, Springfield, MA 01128-1144 | 2018-05-01 |
| 1528592029 | Jaegak Kim | Dentist | 850 Harrison Ave Fl 6, Boston, MA 02118-4001 | 2017-04-12 |
| 1609322452 | Lowell Oral Surgery Associates, Inc | Dentist | 26 North Rd, 2nd Floor, Chelmsford, MA 01824-2722 | 2016-08-31 |
| 1295189280 | Jonathan Bishop | Dentist | 208 Main St Ste 116, Milford, MA 01757-2502 | 2016-04-16 |
| 1790149987 | Capeside Oral&facial Surgery, Inc. | Dentist | 362 Gifford St, Falmouth, MA 02540-2912 | 2016-04-13 |
| Find all providers with the same taxonomy | ||||
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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.