Angela P Filandrianos, D.M.D.
Individual provider Active NPI Periodontics · Newtonville, MA
NPI 1407978299 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1407978299
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Periodontics 1223P0300X
- License
- 16475 (MA)
- Practice address
- 701 Washington St
Newtonville, MA 02458-1260 - Phone
- (617) 244-4871
- Fax
- (508) 358-2938
- NPI assigned
- Apr 4, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16475 | MA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 16475 | MA | Yes |
Addresses
Primary practice location
701 Washington St
Newtonville, MA 02458-1260
Mailing address
46 Forty Acres Dr
Wayland, MA 01778-2702
Phone (508) 358-5078
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All providers in Newtonville, MA · Periodontics in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.