Provider Demographics
NPI:1700807633
Name:MICHAEL F. ARCIERI, D.M.D., INC.
Entity Type:Organization
Organization Name:MICHAEL F. ARCIERI, D.M.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:FRANCIS
Authorized Official - Last Name:ARCIERI
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:617-268-1015
Mailing Address - Street 1:590 E BROADWAY
Mailing Address - Street 2:
Mailing Address - City:SOUTH BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02127-4405
Mailing Address - Country:US
Mailing Address - Phone:617-268-1015
Mailing Address - Fax:617-268-1015
Practice Address - Street 1:590 E BROADWAY
Practice Address - Street 2:
Practice Address - City:SOUTH BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02127-4405
Practice Address - Country:US
Practice Address - Phone:617-268-1015
Practice Address - Fax:617-268-1015
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA17587261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental