DR. CRISTOBAL ALBERTO QUEVEDO


Address: 761 Harrison Ave Apt 205, Boston, MA 02118-2362
Phone: 8574130631

DR. CRISTOBAL ALBERTO QUEVEDO (NPI# 1073825352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073825352
Entity Type Individual
Full Name DR. CRISTOBAL ALBERTO QUEVEDO
Credential DDS
Practice Address 761 Harrison Ave Apt 205
Boston
MA 02118-2362
Practice Telephone 8574130631
Mailing Telephone 8574130631
Enumeration Date 2010-07-02
Last Update Date 2010-07-02
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
DL10997 MA Dental Providers

Office Location

Street Address 761 HARRISON AVE APT 205
City BOSTON
State MA
Zip Code 02118-2362

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NPI Name Taxonomy Address Enumeration
1649870023 Carlos E Salazar Counselor Hcrc 23 Bradston St., Boston, MA 02118 2020-10-27
1780292607 Jinal Gandhi Student in an Organized Health Care Education/Training Program Shapiro Primary Care, 725 Albany Street, Boston, MA 02118 2020-07-16
1669094777 German Eduardo Velez Student in an Organized Health Care Education/Training Program One Boston Medical Center Place Boston Medical Center, Boston, MA 02118 2020-05-12
1255969895 Isabela Medeiros Heringer Pereira Student in an Organized Health Care Education/Training Program 670 Albany Stree, 4th Floor, Boston, MA 02118 2020-03-30
1033746466 Karan Sunil Hingorani Student in an Organized Health Care Education/Training Program Shapiro Primary Care, 725 Albany Street, Precepting Room, Boston, MA 02118 2020-03-25
1326672791 Azza Ahmed Dentist 635 Albany St. G-744, Boston, MA 02118 2020-02-25
1538707401 Jane Margolis Social Worker 840 Harrison Ave., Dowling 2 South, Boston, MA 02118 2019-12-11
1871134833 Supontep Teerakanok Dentist Henry Goldman School of Dental Medicine, 635 Albany St, Boston, MA 02118 2019-10-01
1750939583 Qasim Silman Ajmi Orthopaedic Surgery Department of Orthopaedic Surgery Boston Medical Center, 850 Harrison Ave Dowling 2 North, Boston, MA 02118 2019-08-26
1922655539 Jami Ryan Pollard Physician Assistant 840 Harrison Avenue, Menino Building, Boston, MA 02118 2019-08-20
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Taxonomy Information

Taxonomy Code 1223S0112X
Grouping Dental Providers
Classification Dentist
Specialization Oral and Maxillofacial Surgery

Taxonomy Definition

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528592029 Jaegak Kim Dentist 850 Harrison Ave Fl 6, Boston, MA 02118-4001 2017-04-12
1053750893 Allan Wun Dentist 1 Kneeland St., 5th Floor/ Dhs 503, Boston, MA 02111 2013-06-14
1609189018 Stavros Oikonomou Dentist 660 Washington St Apt 25g, Boston, MA 02111-3243 2010-07-15
1740591080 Ahmad Ali Alshadwi Dentist 850 Harrison Ave Fl Acc5, Boston Medical Center Oral Surgery Department, Boston, MA 02118-4001 2010-07-01
1437390481 Behzad Mostoufi Dentist 820 Harrison Ave # Acc5, Boston, MA 02118-2905 2009-03-19
1396991089 Jennifer E. Smith-williams, D.m.d. Dentist 575 Boylston St Fl 5, Boston, MA 02116-3607 2008-08-13
1497923791 Mario S Lucca Dentist 185 Dartmouth St Ste 403, Boston, MA 02116-5883 2008-02-20
1225228422 Steven John Scrivani Dentist One Kneeland Street, Suite 601, Boston, MA 02111 2007-07-25
1215138672 Constantinos Laskarides Dentist 1 Kneeland St Rm 503, Boston, MA 02111-1527 2007-05-31
1780722017 Patrick Kiu Tao Chan Dentist 136 Lincoln St, Boston, MA 02111-2506 2007-02-01
Find all providers in BOSTON

Competitor

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City BOSTON
Zip Code 02118

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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