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Contact Information

ELISSA HEARD DMD PC
111 WILLARD ST 1B
QUINCY, MA02169
 Phone: 617-471-8640
 Fax: 617-471-9328
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for ELISSA HEARD DMD PC

NPI Number 1013060235
LBN Legal business name ELISSA HEARD DMD PC
Authorized official ELISSA HEARD - (DENTIST OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/19/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
MA License # 13671
MA License # 16163
MA License # 17259
MA License # 21465
Other 4983 BCBS
Other 1131 DELTA
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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