Phuongdao Dmd LLC

Phuongdao Dmd LLC is a healthcare organization registered as General Practice Dentistry in Everett, MA, holding Type 2 (organization) NPI 1003176512 since 2012. The authorized official on file is Phuong Dao, Owner.

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NPI	1003176512
Entity type	Organization (Type 2)
Legal business name	Phuongdao Dmd LLC
Practice address	910 BROADWAY FL 1, Everett, MA, 02149
Phone	6173898317
Enumeration date	2012-05-18
Last updated in NPPES	2012-05-18

Authorized official

Name	Phuong Dao
Title	Owner
Phone	6173898317

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
1223G0001X	General Practice Dentistry	Primary	17573	MA

Other identifiers

Identifier	Type	State	Issuer
X06225	Other	MA	BLUE CROSS BLUE SHIELD
0276685	Medicaid	MA	—

Copy-ready billing details

Provider: Phuongdao Dmd LLC
NPI: 1003176512
Taxonomy: 1223G0001X (General Practice Dentistry)
Address: 910 BROADWAY FL 1, Everett, MA, 02149

Verify this record

Cross-check NPI 1003176512 against the authoritative CMS record: view Phuongdao Dmd LLC on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Where is Phuongdao Dmd LLC located?

The practice location on file with NPPES is in Everett, MA.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2012-05-18. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2012-05-18.