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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

RICHARD NIEDERMAN, DMD
140 FENWAY
BOSTON, MA02115-3782
 Phone: 617-892-8374
 Fax: 617-262-4021
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Periodontics

1223P0300X
Indicates primary specialty

NPI Profile & details for RICHARD NIEDERMAN · (Male)

NPI Number 1003029679
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 05/08/2007
Last updated 07/08/2007 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 13692
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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