SCOTT TREVOR MICALLEF


Address: 333 Ricciuti Dr Apt 1307, Quincy, MA 02169-6295
Phone: 9088398313

SCOTT TREVOR MICALLEF (NPI# 1972161420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1972161420
Entity Type Individual
Full Name SCOTT TREVOR MICALLEF
Credential DMD
Practice Address 333 Ricciuti Dr Apt 1307
Quincy
MA 02169-6295
Practice Telephone 9088398313
Mailing Telephone 9088398313
Enumeration Date 2019-05-30
Last Update Date 2019-09-13
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program DN1858373 MA Student, Health Care

Office Location

Street Address 333 RICCIUTI DR APT 1307
City QUINCY
State MA
Zip Code 02169-6295

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861008336 Morgan Joan Pace Student in an Organized Health Care Education/Training Program 6 Crown Dr Unit 205, Quincy, MA 02169-5553 2020-09-21
1609495332 Sophie Lee Student in an Organized Health Care Education/Training Program 140 Billings St, Quincy, MA 02171-1904 2020-04-13
1750920377 Francesca Mary Donaghey Student in an Organized Health Care Education/Training Program 49 Wedgewood St, Quincy, MA 02171-1069 2019-12-30
1790338093 Elizabeth Ann Robinson Student in an Organized Health Care Education/Training Program 500 Quarry St, Quincy, MA 02169-1523 2019-07-17
1386117034 Anna Qiu Student in an Organized Health Care Education/Training Program 84 Hamilton Ave, Quincy, MA 02171-2810 2019-01-05
1770072266 Rebecca Siegel Student in an Organized Health Care Education/Training Program 569 Washington St Apt 102, Quincy, MA 02169-7217 2018-05-09
1245734615 Christopher Daniel Marotta Student in an Organized Health Care Education/Training Program 33 Waterston Ave, Quincy, MA 02170-3435 2018-03-21
1023530326 Nicole M Maggio Student in an Organized Health Care Education/Training Program 37 Cushing St Apt 3, Quincy, MA 02170-2758 2017-07-10
1376804823 Denise Devereaux Student in an Organized Health Care Education/Training Program 5 Whiton Ave, Quincy, MA 02169-7309 2012-05-31
1821367541 Jeymi Arroyo Student in an Organized Health Care Education/Training Program 62 Presidential Dr, #3, Quincy, MA 02169-8835 2011-12-27
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Competitor

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City QUINCY
Zip Code 02169

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Dataset Information

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.

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