Individual provider · Type 1 NPI

Itallo Emidio Lira Viana, DDS, MSC, PhD

General Practice Dentistry · Boston, MA

NPI number 1144060658 Active

Practice location

25 Morrissey Blvd Unit 1205
Boston, MA 02125-3355

Other practice locations

  • 1 Kneeland St Rm 452C, Boston, MA 02111-1527 · (617) 636-6814

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XDF12023 (MA)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1144060658

Itallo Emidio Lira Viana, DDS, MSC, PhD's National Provider Identifier is 1144060658, issued on May 31, 2024. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Boston, MA. The record was last updated on May 31, 2024.