Provider Demographics
NPI:1285091363
Name:BEACON DENTAL HEALTH PC
Entity type:Organization
Organization Name:BEACON DENTAL HEALTH PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:E
Authorized Official - Last Name:SCHIANO
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:617-418-6940
Mailing Address - Street 1:198 TREMONT ST
Mailing Address - Street 2:SUITE 436
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02116-4705
Mailing Address - Country:US
Mailing Address - Phone:617-418-6940
Mailing Address - Fax:
Practice Address - Street 1:249 STATION AVE
Practice Address - Street 2:
Practice Address - City:SOUTH YARMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02664-1863
Practice Address - Country:US
Practice Address - Phone:617-418-6940
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BEACON DENTAL HEALTH PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-01-20
Last Update Date:2016-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN21699122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty