BLUE HARBOR DENTAL PLLC – NPI #1700304425
Clinic/Center

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Health Care Provider Taxonomy Code for Clinic/Center

BLUE HARBOR DENTAL PLLC is an AHC clinic located in QUINCY, MA. NPPES has assigned the NPI number 1700304425 to BLUE HARBOR DENTAL PLLC on September 01, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QS0112X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Oral and Maxillofacial Surgery

The NPI profile was previously updated about 3 years ago on Aug 30, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BLUE HARBOR DENTAL PLLC below.

NPI Profile for
BLUE HARBOR DENTAL PLLC

NPI Number
1700304425
Enumeration Date

(about 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BLUE HARBOR DENTAL PLLC
Primary location
332 VICTORY RD STE 3A
QUINCY, MA 02171
Phone: (617) 953-2289 Fax: (617) 801-8180
1 Other location(s):
350 Lincoln St Ste 1106
Hingham, MA 02043-1579
Phone: (617) 804-5533
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
XIUPING WANG
OWNER
Phone: (617) 953-2289
Updated
Certification Date
Aug 30, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QS0112X
- Clinic/Center / Oral and Maxillofacial Surgery (Primary)
261QD0000X
- Clinic/Center / Dental

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.