Individual provider · Type 1 NPI

Christopher Fanelli, DDS

Oral and Maxillofacial Surgery (Dentist) · Boston, MA

NPI number 1477929693 Active

Practice location

15 Parkman St
Boston, MA 02114-3117

Mailing address

1470 Lexington Sq SW
Vero Beach, FL 32962-3412

Other practice locations

  • 104 Endicott St Ste 101, Danvers, MA 01923-3688 · (978) 882-6600

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XDRP1445 (FL)
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XDN1858568 (MA)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1477929693

Christopher Fanelli, DDS's National Provider Identifier is 1477929693, issued on Aug 12, 2015. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Boston, MA. The record was last updated on Jul 19, 2020.