Individual provider · Type 1 NPI

Ethan Robert Tencati, DDS

Oral and Maxillofacial Surgery (Dentist) · Boston, MA

NPI number 1649894296 Active

Practice location

55 Fruit St
Boston, MA 02114-2696

Call (617) 726-2000 Map

Mailing address

15 Ridgeway Rd
North Reading, MA 01864-1704

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XDL14789 (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 1649894296

Ethan Robert Tencati, DDS's National Provider Identifier is 1649894296, issued on May 29, 2020. 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 Jun 28, 2021.