Search › Massachusetts › 1041C0700X
Michaela Bannon
NPI 1043557440 · on the registry since 2013
Practice
- Address
- 300 Longwood Ave
Boston, MA 02115 - Phone
- (617) 355-6000
- Organisation at this address
- Bch Dental Group
Boston Childrens Hospital
Childrens Hospital Boston
Childrens Hospital Boston
Boston Childrens HospitalInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4,018
Additional practice sites
- 237 Highland Ave, Needham, MA
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 101YM0800X
171M00000X
222Q00000X - Licence states on file
- MA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-11-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts