Susana Tejada
Dentist
45 Dimock St
Roxbury
, Massachusetts 02119-1208
(617) 553-4838
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About
Features
Specialties
- Dentist
Languages spoken
- English
Location
First Address
- Susana Tejada
- 379a Centre St
- Jamaica Plain, MA
- Zip : 02130-1241
- Phone : (617) 553-4838
Second Address
- Susana Tejada
- 45 Dimock St
- Roxbury, MA
- Zip : 02119-1208
- Fax : (617) 442-4088
- Phone : (617) 442-8800
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 122300000X | Dentist | DN1855592 | MA |
National Provider Identifier
| NPI | 1003118225 |
|---|---|
| Provider Name | Susana Tejada |
| First Address | Jamaica Plain, MA 02130-1241 |
| Second Address | Roxbury, MA 02119-1208 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/11/2010 |
| Last Update Date | 13/04/2020 |
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.