Provider Demographics
NPI:1124044870
Name:SUMNER KALMAN DMD FNC
Entity Type:Organization
Organization Name:SUMNER KALMAN DMD FNC
Other - Org Name:FRANK J CHIMINELLO DMD
Other - Org Type:Other Name
Authorized Official - Title/Position:ORAL SURGEON/PRESIDENT & OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:J
Authorized Official - Last Name:CHIMINELLO
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:781-593-7200
Mailing Address - Street 1:45 NAHANT ST
Mailing Address - Street 2:
Mailing Address - City:LYNN
Mailing Address - State:MA
Mailing Address - Zip Code:01902
Mailing Address - Country:US
Mailing Address - Phone:781-593-7200
Mailing Address - Fax:781-592-6554
Practice Address - Street 1:45 NAHANT ST
Practice Address - Street 2:
Practice Address - City:LYNN
Practice Address - State:MA
Practice Address - Zip Code:01902
Practice Address - Country:US
Practice Address - Phone:781-593-7200
Practice Address - Fax:781-592-6554
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA107611223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
X10707OtherBCBS