Provider Demographics
NPI:1679725410
Name:ELIS PAPARISTO FAMILY DENTISTRY P.C.
Entity Type:Organization
Organization Name:ELIS PAPARISTO FAMILY DENTISTRY P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ELIS
Authorized Official - Middle Name:
Authorized Official - Last Name:PAPARISTO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:617-489-1232
Mailing Address - Street 1:6 HAWTHORNE ST
Mailing Address - Street 2:
Mailing Address - City:BELMONT
Mailing Address - State:MA
Mailing Address - Zip Code:02478-1900
Mailing Address - Country:US
Mailing Address - Phone:617-489-1232
Mailing Address - Fax:
Practice Address - Street 1:6 HAWTHORNE ST
Practice Address - Street 2:
Practice Address - City:BELMONT
Practice Address - State:MA
Practice Address - Zip Code:02478-1900
Practice Address - Country:US
Practice Address - Phone:617-489-1232
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-10
Last Update Date:2008-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA211721223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty