Maria C Evangelisti, DMD, PC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

21021 Issued in MA

Legal business name

MARIA C EVANGELISTI, DMD, PC

Practice address

1 Wallis CT
Suite 1
Lexington, MA 02421-5416

Phone

(339) 970-2014

Fax

(781) 634-0464

NPI assigned

Mar 1, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Maria C Evangelisti, DMD

Title

President

Phone

(339) 970-2014

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1267401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267401600000",
    "number": "1487976791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WALLIS CT",
            "address_2": "SUITE 1",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024215416",
            "telephone_number": "339-970-2014",
            "fax_number": "781-634-0464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WALLIS CT",
            "address_2": "SUITE 1",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024215416",
            "telephone_number": "339-970-2014",
            "fax_number": "781-634-0464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA C EVANGELISTI, DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-01",
        "last_updated": "2010-03-01",
        "status": "A",
        "authorized_official_last_name": "EVANGELISTI",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "339-970-2014",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MA",
            "license": "21021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Manning
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• Shanice Manuel
• Clebert Marcelin Jr.
• Hannah Rose Marini, M.S., CCC-SLP
• Mark N. Strecker, MD, PC
• Marlene Major LLC
• William Clarke Maronn, LICSW
• Brian David Marriott, M.D.

• Pediatric Dentistry in Lexington, MA
• Providers in Lexington, MA by specialty
• Pediatric Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.