DR. SHAN LO (NPI# 1376061838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376061838 |
| Entity Type | Individual |
| Full Name | DR. SHAN LO |
| Credential | DMD |
| Practice Address |
109 Beach St Boston MA 02111-2511 |
| Mailing Address |
8 Garrison St Apt 502 Boston MA 02116-5718 |
| Practice Telephone | 6175426263 |
| Mailing Telephone | 6178750776 |
| Enumeration Date | 2017-09-05 |
| Last Update Date | 2017-09-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223D0001X |
Dentist Specialization: Dental Public Health |
DN1857001 | MA | Dental Providers |
| Street Address |
109 BEACH ST |
| City | BOSTON |
| State | MA |
| Zip Code | 02111-2511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659732147 | Alex B Yee | Student in an Organized Health Care Education/Training Program | 109 Beach St, Boston, MA 02111-2511 | 2016-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689271397 | Maximilian Richert | Counselor | 25 Kingston St, 4r, Boston, MA 02111 | 2020-10-06 |
| 1558978957 | Tien-hsin Chang | Student in an Organized Health Care Education/Training Program | 1 Kneeland Street (tufts University School of Dental Me, Boston, MA 02111 | 2020-09-29 |
| 1548883465 | Elizabeth Carter Stapleton | Dentist | Tufts School of Dental Medicine: Dept of Orthodontics, 1 Kneeland Street, Boston, MA 02111 | 2020-05-27 |
| 1932729597 | Jacob Joseph Kosarchuk | Neurological Surgery | 800 Washington Street, Proger 7, Boston, MA 02111 | 2020-04-23 |
| 1164051868 | Daniele Abela | Surgery | 860 Washington Street, South Building, 4th Floor, Boston, MA 02111 | 2020-04-04 |
| 1184265258 | Jade Orthodontics | Dentist | 30 Kneeland St, Suite 301, Boston, MA 02111 | 2019-09-30 |
| 1932753639 | Loukia Kamille Danaf | Student in an Organized Health Care Education/Training Program | 1 Kneeland Street, Tufts University School of Dental Me, Boston, MA 02111 | 2019-07-31 |
| 1033771944 | Faris Khalifa | Student in an Organized Health Care Education/Training Program | 1 Kneeland Street, 5th Floor, Boston, MA 02111 | 2019-07-01 |
| 1609437276 | Blair Hanna Ray Farbstein | Student in an Organized Health Care Education/Training Program | 1 Kneeland Street, 3rd Floor, Boston, MA 02111 | 2019-06-25 |
| 1821658709 | Jennifer Drummond | Internal Medicine | 800 Washington St. Gme Office, Boston, MA 02111 | 2019-06-13 |
| Find all providers in zip 02111 | ||||
| Taxonomy Code | 1223D0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Dental Public Health |
| The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104479831 | Riddhi H Badamia | Dentist | Department of Oral Health Policy and Epidemiology, Harvard School of Dental Medicine, 188 Longwood Ave, Boston, MA 02115 | 2019-07-22 |
| 1699271528 | Myron Allukian Jr. | Dentist | 46 Louders Ln, Boston, MA 02130-3423 | 2018-03-31 |
| 1043728173 | Michelle Marie Henshaw Marble | Dentist | 560 Harrison Ave Ste 302, Boston, MA 02118-2884 | 2018-01-10 |
| 1295085249 | Omair Bukhari | Dentist | 188 Longwood Ave, Boston, MA 02115-5819 | 2012-09-18 |
| 1760738298 | Enihomo Mary Obadan | Dentist | 188 Longwood Ave, Harvard Dental Center, Boston, MA 02115-5819 | 2012-08-02 |
| 1952567281 | Jyoti Dangi | Dentist | 188 Longwood Ave, Boston, MA 02115-5819 | 2008-08-06 |
| 1922206051 | Peggy Timothe | Dentist | 188 Longwood Ave, Boston, MA 02115-5819 | 2007-07-10 |
| 1942418223 | Mary Angela Tavares | Dentist | 140 Fenway, Boston, MA 02115-3782 | 2007-05-18 |
| 1861605123 | Tufts University | Dentist | 1 Kneeland St, Oral Medicine Dept. Room 508, Boston, MA 02111-1527 | 2007-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730683855 | Catherine Hayes | Dentist | 40 White Pine Rd, Newton, MA 02464-1223 | 2018-03-22 |
| 1811410517 | Roger Nichele | Dentist | 326 Nichols St, Fitchburg, MA 01420 | 2017-07-25 |
| 1255710034 | Erinne Nicole Kennedy | Dentist | 111 Washington St Ste 301, Quincy, MA 02169 | 2015-05-26 |
| 1528477320 | Visitingdental Associates of Ma LLC | Dentist | 18 Purchase St, Middleboro, MA 02346-3356 | 2014-08-05 |
| 1811327265 | Denise Salomon | Dentist | 47 Congress St., Salem, MA 01970-5507 | 2013-11-21 |
| 1114122256 | Lincoln Crossing Dental Associates, PC | Dentist | 160 Lincoln Rd., Lincoln, MA 01773-3834 | 2007-06-19 |
| 1013131895 | Hugo P Dambrosio Jr. | Dentist | 8 Bramblebush Park, Falmouth, MA 02540 | 2007-04-12 |
| 1912027293 | Fardad Mobed | Dentist | 603 Broadway, Revere, MA 02151-3045 | 2007-03-30 |
| 1356477301 | Raghuram Reddy | Dentist | 1 Research Dr Ste 120c, Westborough, MA 01581-3988 | 2007-02-26 |
| 1437291432 | Rebecca Paglia | Dentist | 154 Highland St, Marlborough, MA 01752 | 2007-02-13 |
| Find all providers with the same taxonomy | ||||
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| 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.