Jon Fernandez
Jon Fernandez is a Dentist in Boston, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2024.
- Licensed in
- MA
- In the registry since
- 2024
- Specialties on file
- 3
Practice location Address checks out
635 Albany StBoston, MA 02118-3550
Phone: (617) 358-8300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence DN10000555 (MA) |
|---|---|
| Dentist | Taxonomy 122300000X · Licence DEN100623 (MA) |
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1053179325 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 11, 2024 |
| Last updated in NPPES | January 2, 2025 |
| Certification date | January 2, 2025 |
| Mailing address | 635 Albany St, Boston, MA 02118-3550 |
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