Provider Demographics
NPI:1811100852
Name:SACHDEO, AMIT (BDS, MS, DMSC)
Entity type:Individual
Prefix:DR
First Name:AMIT
Middle Name:
Last Name:SACHDEO
Suffix:
Gender:M
Credentials:BDS, MS, DMSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:464 COMMONWEALTH AVE
Mailing Address - Street 2:SUITE 15
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02215-2701
Mailing Address - Country:US
Mailing Address - Phone:617-429-8884
Mailing Address - Fax:617-636-6583
Practice Address - Street 1:TUFTS DENTAL ASSOCIATES, 1 KNEELAND STREET
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02111
Practice Address - Country:US
Practice Address - Phone:617-429-8884
Practice Address - Fax:617-636-6583
Is Sole Proprietor?:No
Enumeration Date:2007-05-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA9147-LIMITED REG.1223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics