DR. MARY ANGELA TAVARES (NPI# 1942418223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1942418223 |
Entity Type | Individual |
Full Name | DR. MARY ANGELA TAVARES |
Other Name | DR. MARY TAVARES SUTULA |
Credential | D.M.D. |
Practice Address |
140 Fenway Boston MA 02115-3782 |
Practice Telephone | 6178928261 |
Practice Fax Number | 6178928431 |
Mailing Telephone | 6178928261 |
Mailing Fax Number | 6178928431 |
Enumeration Date | 2007-05-18 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223D0001X |
Dentist Specialization: Dental Public Health |
13809 | MA | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447750484 | Mary Beth Tavares | Social Worker | B6 Bristol Woods Dr, Bristol, RI 02809-2746 | 2018-02-16 |
Street Address |
140 FENWAY |
City | BOSTON |
State | MA |
Zip Code | 02115-3782 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497977177 | Forsyth Dental Infirmary for Children | Dentist | 140 Fenway, Boston, MA 02115 | 2007-05-03 |
1104029974 | Kathy J. Eklund | Dental Hygienist | 140 Fenway, Boston, MA 02115-3782 | 2007-06-07 |
1003029679 | Richard Niederman | Dentist | 140 Fenway, Boston, MA 02115-3782 | 2007-05-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013524339 | Jacqueline Busa | Student in an Organized Health Care Education/Training Program | Northeastern University 336 Huntington Ave, Boston, MA 02115 | 2020-09-30 |
1417564279 | Katherine Rose Brainard | Student in an Organized Health Care Education/Training Program | 336 Huntington Avenue, Boston, MA 02115 | 2020-09-25 |
1679189112 | Tara Baxter | Orthopaedic Surgery | Boston Children's Hospital - Sports Medicine Division, 319 Longwood Avenue, Boston, MA 02115 | 2020-09-21 |
1053923110 | Wendy Tu | Student in an Organized Health Care Education/Training Program | 75 Francis Street Abdominal Imaging and Intervention, Department of Radiology, Brigham and Women's Hospital, Boston, MA 02115 | 2020-08-20 |
1477177335 | Nicolas Wyvekens | Student in an Organized Health Care Education/Training Program | 75 Francis Street Department of Pathology, Brigham And, Boston, MA 02115 | 2020-06-05 |
1669095923 | Erin Crocker | Student in an Organized Health Care Education/Training Program | Northeastern University Physician Assistant Program, 360 Huntington Avenue, Boston, MA 02115 | 2020-05-21 |
1033732417 | Tyler Francis Hayes | Student in an Organized Health Care Education/Training Program | Gordon Hall, Suite 213, 25 Shattuck Street, Boston, MA 02115 | 2020-05-20 |
1982225090 | Emily Blake | Student in an Organized Health Care Education/Training Program | 202 Robinson Hall, 360 Huntington Avenue, Boston, MA 02115 | 2020-04-29 |
1891315495 | Stephanie Schoch | Student in an Organized Health Care Education/Training Program | 360 Huntington Ave., 202 Robinson Hall, Boston, MA 02115 | 2020-04-23 |
1427678093 | Meghan Miles | Student in an Organized Health Care Education/Training Program | 360 Huntington Avenue 202 Robinson Hall, Boston, MA 02115 | 2020-04-23 |
Find all providers in zip 02115 |
Taxonomy Code | 1223D0001X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Dental Public Health |
The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104479831 | Riddhi H Badamia | Dentist | Department of Oral Health Policy and Epidemiology, Harvard School of Dental Medicine, 188 Longwood Ave, Boston, MA 02115 | 2019-07-22 |
1699271528 | Myron Allukian Jr. | Dentist | 46 Louders Ln, Boston, MA 02130-3423 | 2018-03-31 |
1043728173 | Michelle Marie Henshaw Marble | Dentist | 560 Harrison Ave Ste 302, Boston, MA 02118-2884 | 2018-01-10 |
1376061838 | Shan Lo | Dentist | 109 Beach St, Boston, MA 02111-2511 | 2017-09-05 |
1295085249 | Omair Bukhari | Dentist | 188 Longwood Ave, Boston, MA 02115-5819 | 2012-09-18 |
1760738298 | Enihomo Mary Obadan | Dentist | 188 Longwood Ave, Harvard Dental Center, Boston, MA 02115-5819 | 2012-08-02 |
1952567281 | Jyoti Dangi | Dentist | 188 Longwood Ave, Boston, MA 02115-5819 | 2008-08-06 |
1922206051 | Peggy Timothe | Dentist | 188 Longwood Ave, Boston, MA 02115-5819 | 2007-07-10 |
1861605123 | Tufts University | Dentist | 1 Kneeland St, Oral Medicine Dept. Room 508, Boston, MA 02111-1527 | 2007-05-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730683855 | Catherine Hayes | Dentist | 40 White Pine Rd, Newton, MA 02464-1223 | 2018-03-22 |
1811410517 | Roger Nichele | Dentist | 326 Nichols St, Fitchburg, MA 01420 | 2017-07-25 |
1255710034 | Erinne Nicole Kennedy | Dentist | 111 Washington St Ste 301, Quincy, MA 02169 | 2015-05-26 |
1528477320 | Visitingdental Associates of Ma LLC | Dentist | 18 Purchase St, Middleboro, MA 02346-3356 | 2014-08-05 |
1811327265 | Denise Salomon | Dentist | 47 Congress St., Salem, MA 01970-5507 | 2013-11-21 |
1114122256 | Lincoln Crossing Dental Associates, PC | Dentist | 160 Lincoln Rd., Lincoln, MA 01773-3834 | 2007-06-19 |
1013131895 | Hugo P Dambrosio Jr. | Dentist | 8 Bramblebush Park, Falmouth, MA 02540 | 2007-04-12 |
1912027293 | Fardad Mobed | Dentist | 603 Broadway, Revere, MA 02151-3045 | 2007-03-30 |
1356477301 | Raghuram Reddy | Dentist | 1 Research Dr Ste 120c, Westborough, MA 01581-3988 | 2007-02-26 |
1437291432 | Rebecca Paglia | Dentist | 154 Highland St, Marlborough, MA 01752 | 2007-02-13 |
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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.