Provider Demographics
NPI:1104855964
Name:MEHMET KAHVECI DMD PC
Entity Type:Organization
Organization Name:MEHMET KAHVECI DMD PC
Other - Org Name:FANEUIL HALL DENTAL ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MEHMET
Authorized Official - Middle Name:
Authorized Official - Last Name:KAHVECI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-523-4444
Mailing Address - Street 1:177 STATE ST LBBY B
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02109-2603
Mailing Address - Country:US
Mailing Address - Phone:617-523-4444
Mailing Address - Fax:617-367-2092
Practice Address - Street 1:177 STATE ST LBBY B
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02109-2603
Practice Address - Country:US
Practice Address - Phone:617-523-4444
Practice Address - Fax:617-367-2092
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-02
Last Update Date:2018-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0700XDental ProvidersDentistProsthodonticsGroup - Single Specialty