Provider Demographics
NPI:1225299936
Name:ORENSTEIN, NOAH PHILIP (DMD)
Entity Type:Individual
Prefix:DR
First Name:NOAH
Middle Name:PHILIP
Last Name:ORENSTEIN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 WOODLEDGE RD
Mailing Address - Street 2:
Mailing Address - City:NEEDHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02492-4061
Mailing Address - Country:US
Mailing Address - Phone:774-994-0432
Mailing Address - Fax:
Practice Address - Street 1:271 AUBURN ST
Practice Address - Street 2:
Practice Address - City:AUBURNDALE
Practice Address - State:MA
Practice Address - Zip Code:02466-1915
Practice Address - Country:US
Practice Address - Phone:617-965-3144
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-24
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA390200000X1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAS85376297OtherDRIVERS LICENSE