Provider Demographics
NPI:1295249142
Name:NOAH ORENSTEIN DMD PC
Entity type:Organization
Organization Name:NOAH ORENSTEIN DMD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/PROSTHODONTIST
Authorized Official - Prefix:
Authorized Official - First Name:NOAH
Authorized Official - Middle Name:PHILIP
Authorized Official - Last Name:ORENSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:774-994-0432
Mailing Address - Street 1:115 WOODLEDGE RD
Mailing Address - Street 2:
Mailing Address - City:NEEDHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02492-4061
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:271 AUBURN ST
Practice Address - Street 2:
Practice Address - City:AUBURNDALE
Practice Address - State:MA
Practice Address - Zip Code:02466-1915
Practice Address - Country:US
Practice Address - Phone:617-965-3144
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-29
Last Update Date:2017-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN1856344261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental