Individual provider · Type 1 NPI

Esra M. Faden

Periodontics · Boston, MA

NPI number 1124573456 Active

Practice location

1 Kneeland St
Boston, MA 02111-1527

Call (617) 817-0656 Map

Mailing address

75 Station Lndg, Apt. 526, Medford, Ma
Medford, MA 02155-5127

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300X13-J-D-0030293 (ZZ)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1124573456

Esra M. Faden's National Provider Identifier is 1124573456, issued on Aug 16, 2016. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Boston, MA. The record was last updated on Aug 16, 2016.