MATTHEW L ZIZMOR (NPI# 1952579724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952579724 |
| Entity Type | Individual |
| Full Name | MATTHEW L ZIZMOR |
| Credential | DDS |
| Practice Address |
1244 Boylston St Suite 205 Chestnut Hill MA 02467-2116 |
| Practice Telephone | 6177384788 |
| Mailing Telephone | 6177384788 |
| Enumeration Date | 2008-02-14 |
| Last Update Date | 2014-06-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
13781 | MA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BLUE CROSS BLUE SHIELD | X05193 | 01 |
| Street Address |
1244 BOYLSTON ST SUITE 205 |
| City | CHESTNUT HILL |
| State | MA |
| Zip Code | 02467-2116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215920004 | Karen H Kim | Specialist | 1244 Boylston St, Suite 302, Chestnut Hill, MA 02467 | 2005-08-26 |
| 1174156921 | V-care Pharmacy of Chestnut Hill LLC | Pharmacy | 1244 Boylston St, Chestnut Hill, MA 02467-2116 | 2020-02-20 |
| 1225458185 | Prasanthi Kandula | Dermatology | 1244 Boylston St, Chestnut Hill, MA 02467 | 2014-04-18 |
| 1295075521 | Vassiliki Marica Cartsos | Dentist | 1244 Boylston St, Suite 205, Chestnut Hill, MA 02467-2116 | 2013-02-23 |
| 1841543055 | Tarah Beckwith Pava | Audiologist | 1244 Boylston St, Suite 303, Chestnut Hill, MA 02467-2116 | 2012-10-25 |
| 1629334198 | Nicole Yar-lute Lee | Dermatology | 1244 Boylston St, Chestnut Hill, MA 02467-2116 | 2012-04-09 |
| 1639499676 | Skincare Physicians St Elizabeths Inc | Dermatology | 1244 Boylston St, Suite 103, Chestnut Hill, MA 02467-2116 | 2010-06-01 |
| 1699005173 | Skincarephysicians | Dermatology | 1244 Boylston St, Suite 302, Chestnut Hill, MA 02467-2116 | 2010-01-06 |
| 1336477249 | Andrei Metelitsa | Dermatology | 1244 Boylston St, Chestnut Hill, MA 02467-2116 | 2009-12-04 |
| 1346494184 | Matthew P Bock | Podiatrist | 1244 Boylston St, Suite 101, Chestnut Hill, MA 02467-2116 | 2008-11-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013542810 | Joanne L. Faber | Nurse Practitioner | 136 Beverly Road, Chestnut Hill, MA 02467 | 2020-03-12 |
| 1992338859 | Kim Elizabeth Chaplain | Physical Therapy Assistant | 615 Heath Street, Chestnut Hill, Ma. 02467, Chestnut Hill, MA 02467 | 2020-02-19 |
| 1407325251 | Tara Paulauskas | Social Worker | 791 Hammond St, Chestnut Hill, MA 02467 | 2018-11-21 |
| 1932684776 | Jeannine Kremer | Social Worker | 140 Commonweakth Ave, Chestnut Hill, MA 02467 | 2018-09-27 |
| 1639671563 | Kathleen Houlihan | Social Worker | Boston College Campus School - Campion 197, 140 Commonwealth Ave, Chestnut Hill, MA 02467 | 2018-03-07 |
| 1609374891 | The Counseling Center At Cela | Counselor | 675 Vfw Parkway #271, Chestnut Hill, MA 02467 | 2018-01-23 |
| 1033566328 | Boston Body Evolution LLC | Specialist | 1290 Boylston Street, Chestnut Hill, MA 02467 | 2016-05-17 |
| 1669827630 | Mikayla Wynter | Counselor | 393 Hammond St, Chestnut Hill, MA 02467 | 2016-04-27 |
| 1043697675 | Accurate Care Afc, Inc. | Home Health | 50/56 Broadlawn Park, Apt 506, Chestnut Hill, MA 02467 | 2015-05-04 |
| 1609285360 | Oba LLC | Anesthesiology | 6 Eliot Crescent, Brookline, MA 02467 | 2014-08-07 |
| Find all providers in zip 02467 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568518603 | Arnold Rosen | Dentist | 1244 Boylston St Suite 205, Chestnut Hill, MA 02467 | 2007-01-25 |
| 1619014511 | Alan Friedman | Dentist | 1244 Boylston St Suite 205, Chestnut Hill, MA 02467 | 2007-01-31 |
| 1508915752 | Matthew L Zizmor Dds PC | Dentist | 1244 Boylston Street, Suite 205, Chestnut Hill, MA 02467 | 2007-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447851035 | North Andover Dental Partners Pllc | Dentist | 451 Andover St Ste 208, North Andover, MA 01845-5070 | 2020-11-02 |
| 1699329797 | Jeffrey A. Harrison, Dmd, PC | Dentist | 258 Washington Street, Wellesley, MA 02481 | 2019-07-26 |
| 1104380526 | Sfrnsh LLC | Dentist | 209 Harvard St Ste 302, Brookline, MA 02446-5005 | 2019-01-30 |
| 1619446713 | Lexington Implant and Restorative Dentistry | Dentist | 803 Massachusetts Ave, Lexington, MA 02420-3918 | 2018-11-19 |
| 1154818359 | Lexington Smile Studio, PC | Dentist | 922 Waltham St Ste 202, Lexington, MA 02421-8019 | 2018-04-13 |
| 1184140139 | Georgetown Dental, P.C. | Dentist | 25 E Main St Ste 3, Georgetown, MA 01833-2007 | 2017-08-21 |
| 1922522747 | Prosthodontic Associates PC | Dentist | 50 Salem St., 3rd Floor, Lynnfield, MA 01940 | 2017-08-02 |
| 1952852063 | Thaisa Barizan Bordin | Dentist | 100 Morton St Apt 50, Boston, MA 02130-3754 | 2016-10-24 |
| 1326419524 | Brookline Dental Associates LLC | Dentist | 209 Harvard St Ste 502, Brookline, MA 02446-5005 | 2015-10-14 |
| 1316318686 | Outer Cape Dental Group, LLC | Dentist | 10 Cannon Hill Rd, South Wellfleet, MA 02663 | 2015-10-13 |
| Find all providers with the same taxonomy | ||||
| City | CHESTNUT HILL |
| Zip Code | 02467 |
Please comment or provide details below to improve the information on MATTHEW L ZIZMOR.
| 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.