Harvard Vanguard Medical Associates
Organization Active NPI Dentist · Braintree, MA
NPI 1972664563 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1972664563
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- Legal business name
- HARVARD VANGUARD MEDICAL ASSOCIATES
- Practice address
- 111 Grossman Dr
Braintree, MA 02184-4997 - Phone
- (781) 849-2255
- Fax
- (781) 849-2566
- NPI assigned
- Dec 13, 2006
- Organization subpart
- No
Authorized official
- Name
- Debra Geihsler
- Title
- Chief Executive Officer
- Phone
- (617) 559-8012
Corporate family (same tax ID) 13
National Provider Directory
- Tax ID family
- Atrius Healthinc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | Yes |
Addresses
Primary practice location
111 Grossman Dr
Braintree, MA 02184-4997
Mailing address
275 Grove St
Suite 3-300
Auburndale, MA 02466-2272
Phone (617) 559-8096
Other providers in Braintree, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. 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.