QUINCY HIGH CARE DENTISTRY (NPI# 1912277963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912277963 |
| Entity Type | Organization |
| Organization Name | QUINCY HIGH CARE DENTISTRY |
| Practice Address |
67 Coddington St Suite Ll1 Quincy MA 02169-4511 |
| Practice Telephone | 8625886574 |
| Mailing Telephone | 8625886574 |
| Enumeration Date | 2012-01-09 |
| Last Update Date | 2012-01-09 |
| Authorized Official Name | DR. MOATAZ MOHAMMED SHABAN (MANAGER) |
| Authorized Official Telephone | 8625886574 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
DN22158 | MA | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | QUINCY HIGH CARE DENTISTRY LLC | 67 Coddington St., Ste #ll1, Quincy, MA 02169 |
| Street Address |
67 CODDINGTON ST SUITE LL1 |
| City | QUINCY |
| State | MA |
| Zip Code | 02169-4511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972541282 | Eric R Cohen | Internal Medicine | 67 Coddington St, Internal Med & Gastroen, Quincy, MA 02169-4511 | 2006-06-02 |
| 1134357601 | Allied Home Health Care, Inc. | Home Health | 67 Coddington St, 203, Quincy, MA 02169-4511 | 2009-06-23 |
| 1487816773 | Michael Philip Dimarzio | Dentist | 67 Coddington St, Suite 101, Quincy, MA 02169-4511 | 2008-06-27 |
| 1497957492 | Quincy Endodontics Inc. | Dentist | 67 Coddington St, Suite 102, Quincy, MA 02169-4511 | 2007-06-01 |
| 1578620589 | Colleen M. Fisher | Social Worker | 67 Coddington St, Suite 202, Quincy, MA 02169-4511 | 2007-01-02 |
| 1922174796 | Linda C Nolan | Counselor | 67 Coddington St, Ll3, Quincy, MA 02169-4511 | 2006-11-25 |
| 1033297049 | Yean Wu- Young | Dentist | 67 Coddington St, Suite 102, Quincy, MA 02169-4511 | 2006-11-01 |
| 1043327455 | Janice A Peneno | Social Worker | 67 Coddington St, Suite 202, Quincy, MA 02169-4511 | 2006-08-23 |
| 1508875956 | Stephen Elliott Dubin | Psychiatry & Neurology | 67 Coddington St, Suite 205, Quincy, MA 02169 | 2006-08-05 |
| 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 | 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 |
| 1700304425 | Blue Harbor Dental, Pllc | Clinic/Center | 332 Victory Rd Ste 3a, Quincy, MA 02171 | 2017-09-01 |
| 1871994723 | Quincy Dental Center | Clinic/Center | 332 S 36th St, Suite 1, Quincy, IL 62301-5808 | 2014-09-10 |
| Find all providers in QUINCY | ||||
Please comment or provide details below to improve the information on QUINCY HIGH CARE DENTISTRY.
| 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.