Kayla Beth Vasconcellos, DMD

General Practice Dentistry · Milton, MA

Individual Active NPI

NPI number 1104452044

Practice location

480 Adams St Ste 206
Milton, MA 02186-4914
Phone
(617) 696-5257

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NPI record

NPI
1104452044
Entity type
Individual (Type 1)
Enumeration date
March 22, 2020
Last updated
July 22, 2021
Certified
July 22, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X DN1859036 MA
Student in an Organized Health Care Education/Training Program 390200000X — —

Mailing address

100 Station LNDG Unit 1005
Medford, MA 02155-5198
Phone
(508) 521-4576

About Dr. Vasconcellos

Kayla Beth Vasconcellos, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 480 Adams St Ste 206, Milton, MA 02186-4914. The NPI number 1104452044 was assigned on March 22, 2020 and the record was last updated on July 22, 2021.

Dr. Vasconcellos lists a license in the registry: #DN1859036 (MA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kayla Beth Vasconcellos, DMD?

The NPI number is 1104452044.

What is the phone number of Dr. Vasconcellos?

The phone number listed for the practice location is (617) 696-5257.

Where is Dr. Vasconcellos located?

480 Adams St Ste 206, Milton, MA 02186-4914.

What is the taxonomy code for Dr. Vasconcellos?

The primary taxonomy code is 1223G0001X – General Practice Dentistry; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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