IndividualActive
Vikki Noonan, D.M.D., D.M.SC.
NPI 1619980745 · Oral and Maxillofacial Pathology Dentistry · Boston, MA
Provider details
- NPI number
- 1619980745
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Pathology DentistryDental Providers
- Credential
- D.M.D., D.M.SC.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 19519 (MA)
Specialties & taxonomies
Dental Providers
Practice location
133 Brookline Ave
6th Floor;harvard Vanguard Medical Assoc.;dept of Path.
Boston, MA 02215-3904
Phone: (617) 421-2844
Fax: (617) 421-2423
Approximate (ZIP-level) locationGet directions
Mailing address
133 Brookline Ave
Boston, MA 02215-3904
Additional practice locations (1)
- 1 Cranberry HlLexington, MA 02421-7394Phone: (800) 325-7284Fax: (205) 579-9387
Registry dates
- Enumerated
- 2006-08-13
- Last updated
- 2025-03-20
- Certified
- 2025-03-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.