Provider Demographics
NPI:1265582001
Name:PAPAGEORGE, MARIA (DMD)
Entity type:Individual
Prefix:DR
First Name:MARIA
Middle Name:
Last Name:PAPAGEORGE
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 KNEELAND ST
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02111-1527
Mailing Address - Country:US
Mailing Address - Phone:617-636-6515
Mailing Address - Fax:617-636-6809
Practice Address - Street 1:1 KNEELAND ST
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02111-1527
Practice Address - Country:US
Practice Address - Phone:617-636-6515
Practice Address - Fax:617-636-6809
Is Sole Proprietor?:No
Enumeration Date:2007-01-12
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA151241223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA015124OtherTUFTS HEALTH(WEBMD)
MA66230OtherCIGNA(WEBMD)
MA0264679Medicaid
MAX05363OtherBCBS(WEBMD)
MA0013332OtherNEIGHBORHOOD HEALTH
MA16127NEMCOtherHARVARD PILGRIM(WEBMD)
MA4594700-0004501019OtherAETNA (WEBMD)
MA100969OtherDELTA DENTAL PROVIDER #
MAX05363OtherBCBS DENTAL
MA021925OtherBAY STATE PROVIDER NUMBER
MA16127NEMCOtherHARVARD PILGRIM(WEBMD)
MAX05363OtherBCBS DENTAL