DR. ROHAN SHANTANU KIRTANE


Address: 45 Newport Avenue, Aspendental, Quincy, MA 02169
Phone: 6177739902

DR. ROHAN SHANTANU KIRTANE (NPI# 1083054001) 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) 1083054001
Entity Type Individual
Full Name DR. ROHAN SHANTANU KIRTANE
Credential D.M.D, A.E.G.D
Practice Address 45 Newport Avenue
Aspendental
Quincy
MA 02169
Mailing Address 647 Massachusetts Ave
Apartment 1a
Boston
MA 02118-4029
Practice Telephone 6177739902
Mailing Telephone 9496789555
Enumeration Date 2013-07-05
Last Update Date 2014-07-02
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
DN1856566 MA Dental Providers
N 1223G0001X Dentist
Specialization: General Practice
DL11949 MA Dental Providers

Office Location

Street Address 45 NEWPORT AVENUE
ASPENDENTAL
City QUINCY
State MA
Zip Code 02169

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1669028064 Renee Yvette Belisle Occupational Therapist 1266 Furnance Brook Parkway, Suite #100b, Quincy, MA 02169 2019-08-13
1952953713 Phuc Thi Diem Ho Registered Nurse 18 Rustic Place, Quincy, MA 02169 2019-07-11
1518451939 Lucille Jordan Social Worker 1175 Sea St, Quincy, MA 02169 2018-06-19
1326567447 Tara Barney Counselor 290 Quarry Street Apt. 112, Quincy, MA 02169 2017-09-11
1295251007 Iona Dental, P.C. (parent Organization) Dentist 10 Granite Street, Unit - 4c, Quincy, MA 02169 2017-08-15
1730610247 Amy S. Chung Family Medicine 100 Walter J. Hannon Parkway, Quincy, MA 02169 2017-03-26
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1740726223 Cameron James Dumas Pharmacist 21 23 Stanhope Street, Boston, MA 02169 2017-01-09
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386201226 Buffalo Prairie Dental Surgery and Sedation Center Pllc Dentist 126 N 30th St Ste 102, Quincy, IL 62301-3719 2019-05-28
1972091338 Sunny Gaudet Dentist 130 Parkingway, Quincy, MA 02169-5058 2018-05-01
1891224465 Xiuping Wang Dentist 332 Victory Rd Ste 3a, Quincy, MA 02171-3120 2017-06-07
1386045557 Sobia Roohi Dentist 1071 Southern Artery, Apt 708, Quincy, MA 02169 2014-09-08
1801208681 Susan Ma Dentist 500 Congress St Ste 3e, Quincy, MA 02169-0960 2014-05-28
1629346499 Lumiere Dental Spa, LLC Dentist 495 Sea St, Quincy, MA 02169-2742 2011-12-08
1821365784 Dr Dental of Quincy PC Dentist 101 Falls Blvd, Quincy, MA 02169-8126 2011-11-21
1417238700 Lora L Nation Dentist 331 S 36th St, Suite 1, Quincy, IL 62301-5840 2011-08-31
1295024073 Ivana Adamov Dds, PC Dentist 111 Willard St, Suite 1b, Quincy, MA 02169 2011-04-01
1346543014 Nathaniel Chan Dmd PC Dentist 1250 Hancock St Ste 123s, Quincy Center Dental Associates, Quincy, MA 02169-4335 2010-12-17
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Competitor

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City QUINCY
Zip Code 02169

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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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