Provider Demographics
NPI:1104617125
Name:FERRANTE MATHEUS, JOSELIN CRISTINA
Entity type:Individual
Prefix:
First Name:JOSELIN
Middle Name:CRISTINA
Last Name:FERRANTE MATHEUS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 FAIRBANKS ST APT 2
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:MA
Mailing Address - Zip Code:02135-2504
Mailing Address - Country:US
Mailing Address - Phone:786-690-4564
Mailing Address - Fax:
Practice Address - Street 1:26 FAIRBANKS ST
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:MA
Practice Address - Zip Code:02135-2504
Practice Address - Country:US
Practice Address - Phone:786-690-4564
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-16
Last Update Date:2025-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA126800000X122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist