PAUL E TESONE DDS INC (NPI# 1770787442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770787442 |
| Entity Type | Organization |
| Organization Name | PAUL E TESONE DDS INC |
| Practice Address |
563 Broadway Suite 4 Everett MA 02149 |
| Mailing Address |
563 Broadway S Suite 4 Everett MA 02149 |
| Practice Telephone | 6173894950 |
| Practice Fax Number | 6173898604 |
| Mailing Telephone | 6173894950 |
| Mailing Fax Number | 6173898604 |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. PAUL E TESONE (OWNER) |
| Authorized Official Telephone | 6173894950 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
11620 | MA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 0230111 | 05 | |
| MA | BCBS | X03773 | 01 |
| MA | BCBS | X11108 | 01 |
| Street Address |
563 BROADWAY SUITE 4 |
| City | EVERETT |
| State | MA |
| Zip Code | 02149 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265431365 | Britt Alan Johnson | Chiropractor | 563 Broadway, B3, B4, Everett, MA 02149-3749 | 2005-07-20 |
| 1104008184 | William Hartigan Jr. Dpm | Durable Medical Equipment & Medical Supplies | 563 Broadway, Suite 3, Everett, MA 02149-3749 | 2007-11-30 |
| 1548463581 | Everett Rehabilitation Services LLC | Physical Therapist | 563 Broadway, Everett, MA 02149-3749 | 2007-06-07 |
| 1235356676 | John Carpinito | Physical Therapist | 563 Broadway, Everett, MA 02149-3749 | 2007-04-19 |
| 1609901651 | Peter A Capodilupo Sr. | Dentist | 563 Broadway, Suite 21, Everett, MA 02149 | 2007-02-22 |
| 1215072574 | Peter A Capodilupo Jr. | Dentist | 563 Broadway, Suite 21, Everett, MA 02149 | 2007-02-21 |
| 1184779977 | Paul Edward Tesone | Dentist | 563 Broadway, #4, Everett, MA 02149 | 2007-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336550 | Berthonya Joas | Physical Therapy Assistant | 62 Lawrence St, Everett, MA 02149 | 2020-11-03 |
| 1053940031 | Sarah Ann Bottiglio | Pharmacist | Whidden Hospital, 103 Garland Street, Everett, MA 02149 | 2020-04-02 |
| 1417494139 | Tsering Dolkar | Registered Nurse | Department of Surgery 103 Garland Street, Everett Hospital, Everett, MA 02149 | 2017-01-20 |
| 1073060190 | Egenie Desir | Registered Nurse | 102 Edith St, Everett, MA 02149 | 2016-09-07 |
| 1295113215 | Tracy Guan | Speech-Language Pathologist | 213 Springvale Ave, Everett, MA 02149 | 2015-05-11 |
| 1386075562 | Maritza Andrea Romano | Licensed Practical Nurse | 77 Clark Street, Everett, MA 02149 | 2013-12-12 |
| 1619221454 | Nicole Marie Shanahan | Social Worker | 23 Union Street, Apartment 2, Everett, MA 02149 | 2012-11-01 |
| 1760764997 | Ashish Agarwal | Pharmacist | 317 Ferry Street, Everett, MA 02149 | 2011-09-14 |
| 1851684856 | Jocelyn Ronda | Internal Medicine | Mgh Everett Family Care, 19 Norwood St, Everett, MA 02149 | 2011-05-24 |
| 1720292204 | Geraldine Chandra Martin | Optometrist | 2 Mystic View Road, Everett, MA 02149 | 2007-05-10 |
| Find all providers in zip 02149 | ||||
| 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 |
|---|---|---|---|---|
| 1104396969 | Mark Stivers, Dds, Inc., P.s. | Dentist | 12728 19th Ave Se Ste 101, Everett, WA 98208-6526 | 2018-12-04 |
| 1932496809 | Marc J Toso | Dentist | 5929 Evergreen Way Ste 300, Everett, WA 98203 | 2011-06-29 |
| 1710906300 | Christopher Michael Lance | Dentist | 138 Memorial Dr, Everett, PA 15537-7028 | 2006-07-18 |
| 1316946437 | Mark W Stivers | Dentist | 12728 19th Ave Se # 101, Everett, WA 98208 | 2005-07-20 |
| 1073826996 | Gordon B Davis Md Dds Ps | Dentist | 1111 Pacific Ave, Suite A, Everett, WA 98201-4200 | 2010-07-20 |
| 1184944001 | Washingtonoralmaxillofacialsurgery | Dentist | 5929 Evergreen Way, 300, Everett, WA 98203-6031 | 2010-06-02 |
| 1184779977 | Paul Edward Tesone | Dentist | 563 Broadway, #4, Everett, MA 02149 | 2007-01-24 |
| 1477641041 | Gordon Bruce Davis | Dentist | 1111 Pacific Ave, Ste 1, Everett, WA 98201-4200 | 2006-10-10 |
| 1538257308 | Jae Y Hong | Dentist | 5929 Evergreen Way, # 300, Everett, WA 98203-6031 | 2006-10-10 |
| 1972522530 | Gregory Wynn Pyle | Dentist | 138 Memorial Dr, Everett, PA 15537-7028 | 2006-07-18 |
| Find all providers in EVERETT | ||||
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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.