Provider Demographics
NPI:1013376003
Name:GARFINKLE, JULIANA (DDS)
Entity Type:Individual
Prefix:
First Name:JULIANA
Middle Name:
Last Name:GARFINKLE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:JULIANA
Other - Middle Name:
Other - Last Name:GINSBERG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:160 SAINT BOTOLPH ST APT 4
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115-5119
Mailing Address - Country:US
Mailing Address - Phone:718-470-4120
Mailing Address - Fax:
Practice Address - Street 1:1 ROOSEVELT AVE STE 2D
Practice Address - Street 2:
Practice Address - City:PEABODY
Practice Address - State:MA
Practice Address - Zip Code:01960-2227
Practice Address - Country:US
Practice Address - Phone:978-535-2500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-02-18
Last Update Date:2022-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY390200000X
MADN18580111223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program