Organization

Nopsaran Chaimattayompol, Dmd, Pc

May also be knows as Crown Dental Group

Legal Business Name

Nopsaran Chaimattayompol, Dmd, Pc

Also Known As

Crown Dental Group

NPI Number

1033294368

NPI Type

Organization

Enumeration Date

10/26/2006

Specialties

(Taxonomies)

Code

1223G0001X
1223P0700X

Primary Taxonomy

No
No

Licenses

State

Massachusetts
Massachusetts
Massachusetts

License Number

19821
11693
20789

Contact
Information

Purpose

Mailing
Location

Address

500 CONGRESS ST
500 CONGRESS ST

City

Quincy
Quincy

State

MA
MA

Postal Code

02169-0908
02169-0908

Country

US
US

Telephone Number

(617) 328-0693
(617) 328-0693

Authorized Official

Name

Dr. Nopsaran Chaimattayompol

Title or Position

DIRECTOR

Telephone Number

(617) 328-0693

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/22/2020

Provider Address