DR. EDWARD HENRY FIDROCKI


Address: 1 Kneeland St, Room 322 A, Boston, MA 02111
Phone: 6176438070

DR. EDWARD HENRY FIDROCKI (NPI# 1952385742) 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) 1952385742
Entity Type Individual
Full Name DR. EDWARD HENRY FIDROCKI
Credential DDS
Practice Address 1 Kneeland St
Room 322 A
Boston
MA 02111
Practice Telephone 6176438070
Practice Fax Number 6176438122
Mailing Telephone 6177240287
Mailing Fax Number 6177262894
Enumeration Date 2005-12-05
Last Update Date 2015-11-24
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist 15917 MA Dental Providers

Office Location

Street Address 1 KNEELAND ST
ROOM 322 A
City BOSTON
State MA
Zip Code 02111

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356942296 Maria Diluigi Dental Hygienist 1 Kneeland St, Boston, MA 02111-1527 2020-11-06
1043818891 Sultan Albeshri Student in an Organized Health Care Education/Training Program 1 Kneeland St, Boston, MA 02111-1527 2020-10-14
1699389015 Nader Naguib Student in an Organized Health Care Education/Training Program 1 Kneeland St, Boston, MA 02111-1527 2020-09-02
1811508443 Reem Alajlan Student in an Organized Health Care Education/Training Program 1 Kneeland St, Boston, MA 02111-1527 2020-08-17
1306457437 Ranmeek Kaur Dentist 1 Kneeland St, Boston, MA 02111-1527 2020-08-12
1326656166 Shivangi Tyagi Dentist 1 Kneeland St, Boston, MA 02111-1527 2020-07-17
1790302503 Sebastien Richard Salzmann Dentist 1 Kneeland St, Boston, MA 02111-1527 2020-06-26
1699391607 Adam Lowenstein Student in an Organized Health Care Education/Training Program 1 Kneeland St, Boston, MA 02111-1527 2020-06-25
1720604317 John Paul Ramos De Guzman Student in an Organized Health Care Education/Training Program 1 Kneeland St, Boston, MA 02111-1527 2020-06-19
1760008668 Gary Li Student in an Organized Health Care Education/Training Program 1 Kneeland St, Boston, MA 02111-1527 2020-06-17
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497353619 Shikha Nanda Dentist 45 E Newton St Apt 107, Boston, MA 02118-4803 2020-10-09
1972100964 Dafjola Bejleraj Dentist 10 High St Ste 333, Boston, MA 02110-1672 2020-10-03
1851998827 Rami Salloum Dentist 60 Mount Pleasant Ave, Boston, MA 02119-3348 2020-10-02
1649885492 Vanessa Lynn Mancuso Cortinas Dentist 490 Harrison Ave Apt 202, Boston, MA 02118-2573 2020-09-09
1407468465 Treon Dental Partner Dentist 22 Traveler St, Boston, MA 02118-2645 2020-08-20
1134747603 Ahmed Bashir Raddad Dentist 100 E Newton St # 707a, Boston, MA 02118-3552 2020-07-10
1770108656 Nedg Boston Dentist 1 Milk St, Boston, MA 02109-5413 2020-06-16
1730702309 Alla Anastos Dentist 4 Charlesgate E Apt 502, Boston, MA 02215-2324 2020-05-18
1942841788 Mina Ihsan Dentist 701 Massachusetts Ave Apt 5, Boston, MA 02118-4053 2019-10-02
1831740166 Saad Joulakh Dentist 42 Worcester Sq Apt 11, Boston, MA 02118-2920 2019-09-27
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Competitor

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City BOSTON
Zip Code 02111

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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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