DR. KENNETH T. NOLAN (NPI# 1083697239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083697239 |
| Entity Type | Individual |
| Full Name | DR. KENNETH T. NOLAN |
| Credential | DDS |
| Practice Address |
11 Main St Suite 2 Southborough MA 01772-1661 |
| Mailing Address |
5 Catching Cove Rd Northport ME 04849-3053 |
| Practice Telephone | 5084816100 |
| Practice Fax Number | 5084858734 |
| Mailing Telephone | 5084816100 |
| Mailing Fax Number | 5084858734 |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 11137 | MA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457619637 | Kenneth R Nolan | Counselor | 4209 Nw 23rd Street, 100, Oklahoma, OK 73107 | 2012-04-25 |
| 1013226174 | Kenneth Nolan | Perfusionist | 31330 Schoolcraft Rd, Ste 200, Livonia, MI 48150-2041 | 2010-10-06 |
| Street Address |
11 MAIN ST SUITE 2 |
| City | SOUTHBOROUGH |
| State | MA |
| Zip Code | 01772-1661 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124142021 | Maria Berstein Brucculeri | Psychologist | 11 Main St, Southborough, MA 01772-1661 | 2007-03-17 |
| 1568597011 | Karen Lynn Madruga | Dentist | 11 Main St, Southborough, MA 01772-1661 | 2007-02-23 |
| 1417930371 | William M Egan | Dentist | 11 Main St, Suite 2, Southborough, MA 01772-1661 | 2005-11-23 |
| 1154304319 | Andrew P. Zaterka | Dentist | 11 Main St, Suite 2, Southborough, MA 01772-1661 | 2005-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043854391 | Hiral Patel | Pharmacist | 150 Northnoro Road, Suite 4, Southborough, MA 01772 | 2019-10-30 |
| 1588188544 | Jennifer Foran | Behavior Technician | 33 Turnkpike Road, Southborough, MA 01772 | 2017-08-01 |
| 1588184402 | Lise Mary Gallo | Behavioral Analyst | 16 Clifford St, Southborough, MA 01772 | 2017-06-21 |
| 1437508322 | Kristen Lomker | Pharmacist | 155 Northborough Rd, Southboro, MA 01772 | 2016-06-10 |
| 1679841829 | Scott Adam Canter | Acupuncturist | 64 William Onthank Lane, Southborough, MA 01772 | 2011-12-02 |
| 1396966206 | Umer Sayeed Shah | Surgery | 2 Parkcentral Drive Suite 210, Avc / Acc, Southborough, MA 01772 | 2007-05-01 |
| 1982636411 | Armineh Mirzabegian | Internal Medicine | Southboro Medical Group, 24 Newton Street, Southboro, MA 01772 | 2006-07-07 |
| 1336197508 | Lisa M Hassler | Pediatrics | 24 Newton Street, Southboro Medical Group, Southboro, MA 01772 | 2006-05-04 |
| 1295714640 | Robin K Morgan | Physical Therapist | 28 Newton St, Southborough, MA 01772 | 2006-01-13 |
| 1528562998 | Emily Marie Bagley | Student in an Organized Health Care Education/Training Program | 33 Turnpike Rd, Southborough, MA 01772 | 2018-03-21 |
| Find all providers in zip 01772 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972916542 | Southborough Dentistry PC | Dentist | 21 Turnpike Rd, Suite F, Southborough, MA 01772-2117 | 2014-06-11 |
| 1417930371 | William M Egan | Dentist | 11 Main St, Suite 2, Southborough, MA 01772-1661 | 2005-11-23 |
| 1154304319 | Andrew P. Zaterka | Dentist | 11 Main St, Suite 2, Southborough, MA 01772-1661 | 2005-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861339 | Lexington Dental Group LLC | Dentist | 35 Bedford St Ste 110, Lexington, MA 02420-4320 | 2020-11-06 |
| 1538760947 | Jevon K Rhule | Dentist | 3611 Washington St Unit B523, Jamaica Plain, MA 02130-2960 | 2020-11-03 |
| 1992304612 | Milton Hill Dental Pllc | Dentist | 99 Adams St, Milton, MA 02186-3413 | 2020-10-23 |
| 1043818404 | Daniela Toli Shkurti | Dentist | 28 Lorette St, West Roxbury, MA 02132-3308 | 2020-10-16 |
| 1194323428 | Farnaz Chehrazi | Dentist | 133 Park St Apt 603, Brookline, MA 02446-4984 | 2020-10-09 |
| 1497353619 | Shikha Nanda | Dentist | 45 E Newton St Apt 107, Boston, MA 02118-4803 | 2020-10-09 |
| 1497352744 | Shahad Hadadi | Dentist | 2 Hancock St Apt 504, Quincy, MA 02171-1769 | 2020-10-08 |
| 1063019677 | Gauri Patil | Dentist | 22 Deborah Dr, Walpole, MA 02081-2317 | 2020-10-06 |
| 1245837152 | Marwan S Al-daggistany | Dentist | 1 Crown Dr Unit 101, Quincy, MA 02169-5474 | 2020-10-04 |
| 1548867443 | Bahareh Kiabi | Dentist | 66 Devir St Apt 201, Malden, MA 02148-7235 | 2020-10-04 |
| Find all providers with the same taxonomy | ||||
| City | SOUTHBOROUGH |
| Zip Code | 01772 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.