Provider Demographics
NPI:1235656984
Name:KAMACHI & KAMACHI DMD PC
Entity Type:Organization
Organization Name:KAMACHI & KAMACHI DMD PC
Other - Org Name:S&K DENTAL SPECIALTY GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:KUMIKO
Authorized Official - Middle Name:
Authorized Official - Last Name:KAMACHI
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:617-721-6188
Mailing Address - Street 1:27 PIER 7
Mailing Address - Street 2:
Mailing Address - City:CHARLESTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:02129-4226
Mailing Address - Country:US
Mailing Address - Phone:617-721-6188
Mailing Address - Fax:
Practice Address - Street 1:800 BOYLSTON ST FL 2
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02199-1900
Practice Address - Country:US
Practice Address - Phone:617-721-6188
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-24
Last Update Date:2021-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN204261223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0700XDental ProvidersDentistProsthodonticsGroup - Multi-Specialty