Herbert S Birnbaum, DMD
Individual provider Active NPI General Practice Dentistry · Newton Centre, MA
NPI 1720148166 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1720148166
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 14639 (MA)
- Practice address
- 670 Beacon St
Newton Centre, MA 02459 - Phone
- (617) 965-1400
- Fax
- (617) 965-1420
- NPI assigned
- Dec 8, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| 14639 | MA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Herbert S. Birnbaum DMD | General Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 14639 | MA | Yes |
Addresses
Primary practice location
670 Beacon St
Newton Centre, MA 02459
Mailing address
670 Beacon St
Newton Centre, MA 02459
Phone (617) 965-1400
Other providers in Newton Centre, MA
- Barry J Goldberg DMD PC
- Barry J Goldberg DMD PC
- Jonathan A Benjamin
- Anna Berik
- Gregory Keith Binus
- Sibylle Bosslet
- Kimberly D Boyd
- Brian H. Miller
- Lawrence J Brown
- Bubble Children'S Dentistry and Orthodontics
All providers in Newton Centre, 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 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.