Theresa W Cleary, DMD
Individual provider Active NPI General Practice Dentistry · Weston, MA
NPI 1649568460 · NPPES record last updated Oct 17, 2024
Key facts
- NPI
- 1649568460
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 1855740 (MA)
- Practice address
- 809 Boston Post Rd Unit B
Weston, MA 02493-1106 - Phone
- (339) 222-2091
- NPI assigned
- Jul 13, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 1855740 | MA | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 1855740 | MA | Yes |
Addresses
Primary practice location
809 Boston Post Rd Unit B
Weston, MA 02493-1106
Mailing address
809 Boston Post Rd Unit B
Weston, MA 02493-1106
Phone (339) 222-2091
Other practice location 1
1432 Main St
Waltham, MA 02451-1621
Phone (781) 768-7250
Other providers in Weston, MA
- Carolyn S Chambers
- Charles River Optimal Wellness, LLC
- Ann Sprole Cheston
- Tanya M Childs
- David C Chin
- Salena Clohisy
- Saul Cohen
- Andrew Guy Compaine
- Alcina Corbett
- Cordial Health Ma PC
All providers in Weston, MA · General Practice Dentistry in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 17, 2024. 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.