Alec Saul Eidelman, DMD

General Practice Dentistry · Cambridge, MA

Individual Active NPI

NPI number 1679066245

Practice location

1493 Cambridge St
Cambridge, MA 02139-1047
Phone
(617) 665-3990

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NPI record

NPI
1679066245
Entity type
Individual (Type 1)
Enumeration date
June 8, 2018
Last updated
March 17, 2020
Certified
March 17, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X DN1858348 MA
Student in an Organized Health Care Education/Training Program 390200000X — —

Mailing address

119 Windsor St 2ND Floor
Cambridge, MA 02139-3648
Phone
(617) 665-3990

About Dr. Eidelman

Alec Saul Eidelman, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1493 Cambridge St, Cambridge, MA 02139-1047. The NPI number 1679066245 was assigned on June 8, 2018 and the record was last updated on March 17, 2020.

Dr. Eidelman lists a license in the registry: #DN1858348 (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 Alec Saul Eidelman, DMD?

The NPI number is 1679066245.

What is the phone number of Dr. Eidelman?

The phone number listed for the practice location is (617) 665-3990.

Where is Dr. Eidelman located?

1493 Cambridge St, Cambridge, MA 02139-1047.

What is the taxonomy code for Dr. Eidelman?

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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