THERESE H VENEDIKIAN DMD PC (NPI# 1619003548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619003548 |
| Entity Type | Organization |
| Organization Name | THERESE H VENEDIKIAN DMD PC |
| Practice Address |
84 High St Ste 7 Medford MA 02155-3844 |
| Practice Telephone | 7813938877 |
| Practice Fax Number | 7813930040 |
| Mailing Telephone | 7813938877 |
| Mailing Fax Number | 7813930040 |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. THERESE H VENEDIKIAN (PRESIDENT) |
| Authorized Official Telephone | 7813938877 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
18238 | MA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BCBS | X07111 | 01 |
| Street Address |
84 HIGH ST STE 7 |
| City | MEDFORD |
| State | MA |
| Zip Code | 02155-3844 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740279298 | Colleen Chesarone | Speech-Language Pathologist | 84 High St, Medford, MA 02155 | 2005-10-18 |
| 1679855605 | Sarah Adams Lancaster | Social Worker | 84 High St, Suite 2a, Medford, MA 02155-3844 | 2011-09-15 |
| 1841439023 | Kimberly Thibault | Occupational Therapist | 84 High St, Medford, MA 02155-3844 | 2009-02-12 |
| 1366681660 | Anne Ciasullo | Physical Therapist | 84 High St, Medford, MA 02155-3844 | 2009-02-10 |
| 1568622942 | Susan Shannon | Occupational Therapist | 84 High St, Medford, MA 02155-3844 | 2008-06-10 |
| 1962660571 | Kimberly Gendron | Counselor | 84 High St, Suite 8, Medford, MA 02155-3844 | 2008-05-30 |
| 1942474523 | Perrotta Dental, LLC | Dentist | 84 High St, Suite 203, Medford, MA 02155-3844 | 2008-04-15 |
| 1316132574 | Anthony Giamberardino | Dentist | 84 High St, Medford, MA 02155-3844 | 2007-09-11 |
| 1679770168 | Beth B. Schmitt, Licsw, PC | Counselor | 84 High St, Suite2a, Medford, MA 02155-3844 | 2007-06-28 |
| 1215052592 | Behavioral Health Affiliates, LLC | Counselor | 84 High St, Suite 2a, Medford, MA 02155-3844 | 2007-03-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679113922 | Elena Chapman | Nurse Practitioner | 293 Salem St 4, Medford, MA 02155 | 2020-01-14 |
| 1922658830 | Michelle Anne Zona | Counselor | 100 George Hassett Dr, Medford, MA 02155 | 2019-09-13 |
| 1487138509 | Dava Davainis | Social Worker | 76 Newbern Avenue, Apt. 1, Medford, MA 02155 | 2018-09-25 |
| 1265915128 | Erin Roberts | Counselor | Medford Public Schools, 3002 Mystic Valley Pkwy, Medford, MA 02155 | 2018-09-07 |
| 1871075739 | Janice Madeline Cole | Social Worker | 3820 Mystic Valley Pkwy Unit 805, Medford, MA 02155 | 2018-09-06 |
| 1447732573 | Mystick Women's Health, Inc. | Obstetrics & Gynecology | 13 Bradlee Road, Medford, MA 02155 | 2018-09-05 |
| 1144713090 | Laura Rogers | Psychologist | 203 Paige Hall, 12 Upper Campus Road, Medford, MA 02155 | 2018-06-14 |
| 1871086694 | Shuo Yang | Dentist | 8 9th St Apt 310, Medford, MA 02155 | 2018-06-07 |
| 1891287108 | Xuhua Qin | Psychologist | 120 Curtis Street, Medford, MA 02155 | 2018-06-01 |
| 1568953529 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 471 Salem St, Medford, MA 02155 | 2018-05-25 |
| Find all providers in zip 02155 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477994200 | Therese Venedikian | Dentist | 84 High St Ste 7, Medford, MA 02155-3844 | 2013-07-09 |
| 1821151853 | Seung H Chang | Dentist | 616 Fellsway Ste 2, Medford, MA 02155-4957 | 2006-12-19 |
| 1114003035 | Sandra Carmeci | Dentist | 483 Murphy Road, Medford, OR 97504 | 2006-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447851035 | North Andover Dental Partners Pllc | Dentist | 451 Andover St Ste 208, North Andover, MA 01845-5070 | 2020-11-02 |
| 1699329797 | Jeffrey A. Harrison, Dmd, PC | Dentist | 258 Washington Street, Wellesley, MA 02481 | 2019-07-26 |
| 1104380526 | Sfrnsh LLC | Dentist | 209 Harvard St Ste 302, Brookline, MA 02446-5005 | 2019-01-30 |
| 1619446713 | Lexington Implant and Restorative Dentistry | Dentist | 803 Massachusetts Ave, Lexington, MA 02420-3918 | 2018-11-19 |
| 1154818359 | Lexington Smile Studio, PC | Dentist | 922 Waltham St Ste 202, Lexington, MA 02421-8019 | 2018-04-13 |
| 1184140139 | Georgetown Dental, P.C. | Dentist | 25 E Main St Ste 3, Georgetown, MA 01833-2007 | 2017-08-21 |
| 1922522747 | Prosthodontic Associates PC | Dentist | 50 Salem St., 3rd Floor, Lynnfield, MA 01940 | 2017-08-02 |
| 1952852063 | Thaisa Barizan Bordin | Dentist | 100 Morton St Apt 50, Boston, MA 02130-3754 | 2016-10-24 |
| 1326419524 | Brookline Dental Associates LLC | Dentist | 209 Harvard St Ste 502, Brookline, MA 02446-5005 | 2015-10-14 |
| 1316318686 | Outer Cape Dental Group, LLC | Dentist | 10 Cannon Hill Rd, South Wellfleet, MA 02663 | 2015-10-13 |
| 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.