DR. MARIO S LUCCA


Address: 185 Dartmouth St Ste 403, Boston, MA 02116-5883
Phone: 6173000345

DR. MARIO S LUCCA (NPI# 1497923791) 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) 1497923791
Entity Type Individual
Full Name DR. MARIO S LUCCA
Credential D.M.D.
Practice Address 185 Dartmouth St Ste 403
Boston
MA 02116-5883
Practice Telephone 6173000345
Practice Fax Number 6179936970
Mailing Telephone 6173000345
Mailing Fax Number 6179936970
Enumeration Date 2008-02-20
Last Update Date 2016-06-21
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
20676 MA Dental Providers

Office Location

Street Address 185 DARTMOUTH ST STE 403
City BOSTON
State MA
Zip Code 02116-5883

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1104439272 Dennis Lau Pharmacist 21-23 Stanhope St., Boston, MA 02116 2020-08-28
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1114407467 Marissa Shallcross Social Worker 120 Boylston Street, Boston, MA 02116 2018-08-16
1245732825 Rachel Klein Social Worker 39 Boylston Street, Boston, MA 02116 2018-02-28
1447759691 Yintuition Wellness, Pllc Acupuncturist 551 Boylston St., Suite 4, Boston, MA 02116 2018-02-02
1104324094 Anne Vinick Social Worker The Community Builders, 185 Dartmouth Street 9th Floor, Boston, MA 02116 2018-01-25
1982117743 Cassandra Xanthos Social Worker Tca Counseling, 262 Beacon St. 2nd Floor, Boston, MA 02116 2017-11-14
1255859757 Carolyn Jamie Kussmaul Physician Assistant 216 Beacon Street Apt 1, Boston, MA 02116 2017-09-05
1215472634 Chantel Castro Counselor 8 Yarmouth Place Apt #2, Boston, MA 02116 2016-12-20
1336598598 Nicole Savina Rittershaus Pediatrics 354 Tremont Street, Boston, MA 02116 2016-06-08
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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
1073825352 Cristobal Alberto Quevedo Dentist 761 Harrison Ave Apt 205, Boston, MA 02118-2362 2010-07-02
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
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 02116

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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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