Individual provider · Type 1 NPI

Poornima Mysore Vishwanath, DMD

Dentist · Waltham, MA

NPI number 1376215137 Active

Practice location

314 Moody St
Waltham, MA 02453-5202

Mailing address

9 Fifer Ln
Lexington, MA 02420-1231

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XDN1859211 (MA)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1376215137

Poornima Mysore Vishwanath, DMD's National Provider Identifier is 1376215137, issued on Sep 30, 2021. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Waltham, MA. The record was last updated on Sep 30, 2021.