BLUE HARBOR DENTAL, PLLC (NPI# 1700304425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700304425 |
| Entity Type | Organization |
| Organization Name | BLUE HARBOR DENTAL, PLLC |
| Practice Address |
332 Victory Rd Ste 3a Quincy MA 02171 |
| Mailing Address |
332 Victory Rd Ste 3a Quincy MA 02171-3120 |
| Practice Telephone | 6179532289 |
| Practice Fax Number | 6178018180 |
| Mailing Telephone | 6179532289 |
| Mailing Fax Number | 6178018180 |
| Enumeration Date | 2017-09-01 |
| Last Update Date | 2018-06-02 |
| Authorized Official Name | DR. XIUPING WANG (OWNER) |
| Authorized Official Telephone | 6179532289 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 350 Lincoln St Ste 1106, Hingham, MA 020431579 | 6178045533 |
| Street Address |
332 VICTORY RD STE 3A |
| City | QUINCY |
| State | MA |
| Zip Code | 02171 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891224465 | Xiuping Wang | Dentist | 332 Victory Rd Ste 3a, Quincy, MA 02171-3120 | 2017-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730661190 | Yvonne Ann Roth | Social Worker | 1 Enterprise Drive, Quincy, MA 02171 | 2018-09-03 |
| 1902397631 | Kristen Spain | Registered Nurse | 110 West Squantum St., North Quincy, MA 02171 | 2018-05-29 |
| 1760984777 | Oumaima Mansouri | Counselor | 110 West Squantum Street, Quincy, MA 02171 | 2018-03-06 |
| 1386163699 | Sophonie Belizaire | Assistant Behavior Analyst | South Shore Mental Health, 500 Victory Rd., Quincy, MA 02171 | 2017-09-18 |
| 1306209168 | Katherine R Standish | Family Medicine | 110 W Squantum St Ste 8, North Quincy, MA 02171 | 2016-03-30 |
| 1669852778 | Joseph Odom | Counselor | 43 Old Colony Road, Quincy, MA 02171 | 2015-06-03 |
| 1578825436 | Hoi Yuk Pang | Counselor | 1 Billings Rd, Quincy, MA 02171 | 2012-06-15 |
| 1275862526 | Naeemah Tahira Smith | Counselor | 210a Quincy Shore Dr, Quincy, MA 02171 | 2009-12-16 |
| 1386876779 | Mark Everds | Counselor | 97 Holmes Street, 2nd Floor, North Quincy, MA 02171 | 2009-08-18 |
| 1306014741 | Ping-chiu Chan | Acupuncturist | Chinese Medical Center, 38 Billings Road, Quincy, MA 02171 | 2008-02-20 |
| Find all providers in zip 02171 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366072795 | Quincy Dental Care PC | Clinic/Center | 1261 Furnace Brook Pkwy Ste 28, Quincy, MA 02169-4762 | 2020-01-24 |
| 1073172243 | Blue Sky Family Dental Pllc | Clinic/Center | 1 Billings Rd Ste 101, Quincy, MA 02171-2456 | 2019-06-11 |
| 1790258754 | Courtney Sanders Knapik, Dmd, PC | Clinic/Center | 350 Hancock St Ste 1, Quincy, MA 02171-2439 | 2019-01-02 |
| 1225537327 | Stella Bondar Dmd PC | Clinic/Center | 1261 Furnace Brook Pkwy Ste 27, Quincy, MA 02169-4762 | 2018-02-05 |
| 1205363173 | Spring Dental PC | Clinic/Center | 440 Hancock St, Quincy, MA 02171-2442 | 2017-05-22 |
| 1427025279 | Quincy Dental | Clinic/Center | 875 Southern Artery, Quincy, MA 02169-7122 | 2006-03-01 |
| 1093372583 | American Dental of Quincy PC | Clinic/Center | 688 Hancock St, Quincy, MA 02170-2814 | 2019-05-21 |
| 1548749336 | Quincy Adams Dental Assoc., Inc | Clinic/Center | 23 Russell Park, Quincy, MA 02169-4304 | 2018-08-13 |
| 1871994723 | Quincy Dental Center | Clinic/Center | 332 S 36th St, Suite 1, Quincy, IL 62301-5808 | 2014-09-10 |
| 1336487883 | Q Smile PC | Clinic/Center | 235 Quincy Ave, Quincy, MA 02169-6754 | 2013-01-17 |
| 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.