Mrs. Amy Portnoy
Dental Hygienist
1400 Centre St Suite 201
Newton
, Massachusetts 02459-2454
Mrs. Amy Portnoy
Dental Hygienist
1400 Centre St Suite 201
Newton
, Massachusetts 02459-2454
(617) 965-2423
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About
Features
Specialties
- Dental Hygienist
Languages spoken
- English
Location
First Address
- Mrs. Amy Portnoy
- 1400 Centre St Suite 201
- Newton, MA
- Zip : 02459-2454
- Fax : (617) 965-2423
- Phone : (617) 965-2440
Second Address
- Mrs. Amy Portnoy
- 1400 Centre St Suite 201
- Newton, MA
- Zip : 02459-2454
- Fax : (617) 965-2423
- Phone : (617) 965-2440
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 8395 | MA |
National Provider Identifier
| NPI | 1033280995 |
|---|---|
| Provider Name | Mrs. Amy Portnoy |
| First Address | Newton, MA 02459-2454 |
| Second Address | Newton, MA 02459-2454 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/11/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 8395 | MA STATE LICENSE # (01) | MA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.