Provider Demographics
NPI:1225842891
Name:BREDE CIAPCIAK DENTAL
Entity type:Organization
Organization Name:BREDE CIAPCIAK DENTAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:BREDE
Authorized Official - Last Name:CIAPCIAK
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:781-444-1505
Mailing Address - Street 1:102 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:NEEDHAM HEIGHTS
Mailing Address - State:MA
Mailing Address - Zip Code:02494-2809
Mailing Address - Country:US
Mailing Address - Phone:781-444-1505
Mailing Address - Fax:
Practice Address - Street 1:102 2ND AVE
Practice Address - Street 2:
Practice Address - City:NEEDHAM HEIGHTS
Practice Address - State:MA
Practice Address - Zip Code:02494-2809
Practice Address - Country:US
Practice Address - Phone:781-444-1505
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-04
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental