42 NORTH DENTAL CARE, LLC (NPI# 1124592951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124592951 |
| Entity Type | Organization |
| Organization Name | 42 NORTH DENTAL CARE, LLC |
| Practice Address |
1211 Highland Ave Needham MA 02492-2634 |
| Mailing Address |
200 5th Ave Fl 3 Waltham MA 02451-8759 |
| Practice Telephone | 7816470772 |
| Mailing Telephone | 7816470772 |
| Enumeration Date | 2019-01-15 |
| Last Update Date | 2019-01-15 |
| Authorized Official Name | TAFPHANE LEGRANDE (DIRECTOR OF REVENUE CYCLE) |
| Authorized Official Telephone | 7816470772 |
| Is Organization Subpart | Y |
| Parent Organization Name | 42 NORTH DENTAL CARE, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Gillis Dental | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689229171 | 42 North Dental Care, LLC | Clinic/Center | 23 Riverside Ave, Medford, MA 02155-4605 | 2019-08-02 |
| 1649730334 | 42 North Dental Care, LLC | Clinic/Center | 41 Park Ave Ste 3-4, Worcester, MA 01605-3947 | 2019-03-20 |
| 1205868098 | 42 North Dental Care, LLC | Dentist | 200 5th Ave, Waltham, MA 02451-8779 | 2006-07-06 |
| 1356975874 | 42 North Dental Care, LLC | Clinic/Center | 382 Grove St, Braintree, MA 02184-7324 | 2020-02-24 |
| 1982250726 | 42 North Dental Care, LLC | Clinic/Center | 21 Main St, Watertown, MA 02472-4403 | 2019-08-16 |
| 1134775059 | 42 North Dental Care, LLC | Clinic/Center | 76 Otis St, Westborough, MA 01581-3315 | 2019-08-15 |
| 1033765953 | 42 North Dental Care, LLC | Clinic/Center | 180 Alewife Brook Pkwy, Cambridge, MA 02138-1102 | 2019-08-15 |
| 1245882604 | 42 North Dental Care, LLC | Clinic/Center | 188 Needham St, Newton, MA 02464-1596 | 2019-07-15 |
| 1760048193 | 42 North Dental Care, LLC | Clinic/Center | 1 E Main St, Northborough, MA 01532-1662 | 2019-05-10 |
| 1013572635 | 42 North Dental Care, LLC | Clinic/Center | 10 Lincoln St, Plymouth, MA 02360-3326 | 2019-05-08 |
| Street Address |
1211 HIGHLAND AVE |
| City | NEEDHAM |
| State | MA |
| Zip Code | 02492-2634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548243157 | Richard C Gillis | Dentist | 1211 Highland Ave, Needham, MA 02492-2603 | 2005-11-29 |
| 1720515646 | Spencer Platt | Dentist | 1211 Highland Ave, Needham, MA 02492-2634 | 2017-05-23 |
| 1669893178 | Melissa Dawn Knudsen | Dentist | 1211 Highland Ave, Needham, MA 02492-2634 | 2013-12-31 |
| 1346389129 | Julie F. Hanson | Dentist | 1211 Highland Ave, Needham, MA 02492-2634 | 2007-02-06 |
| 1366518011 | Randy Kenneth Goldman | Optometrist | 1211 Highland Ave, Needham, MA 02492 | 2006-11-27 |
| 1982783718 | Richard C. Gillis, D.m.d., P.C. | Dentist | 1211 Highland Ave, Needham, MA 02492-2634 | 2006-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801386255 | Jonathan M Adler | Psychologist | Olin College, 1000 Olin Way, Mh 368, Needham, MA 02492 | 2018-05-11 |
| 1972008779 | Robert H. Kelley | Social Worker | 73 Page Rd, Needham, MA 02492 | 2018-03-26 |
| 1407280100 | Nancy J Wilde | Massage Therapist | 105 Chestnut St. At Needham Family Chiro., Suite 35, Needham, MA 02492 | 2013-08-29 |
| 1013255199 | Lisa R Bello | Counselor | 1150 Great Plain Ave, Suite 920271, Needham, MA 02492 | 2013-01-23 |
| 1053548974 | Alexandra Walsh | Counselor | 1986 Central Avenue, Needham, MA 02492 | 2009-06-18 |
| 1437304086 | Bonnie Rhona Seider | Social Worker | 184 Brookline Street, Needham, MA 02492 | 2008-11-24 |
| 1710162086 | Leslie Ann Langston Brain | Social Worker | 368 Hillside Ave, Lower Level, Needham, MA 02492 | 2008-01-07 |
| 1558540179 | Richard Morris Gottlieb | Internal Medicine | 57 Dedham Ave, Needham, MA 02492 | 2007-10-31 |
| 1760677793 | William Duncan Irving | Dentist | 1116 Great Plain Avenue, Needham, MA 02492 | 2007-09-12 |
| 1033319918 | Allergy and Asthma Center of Boston | Allergy & Immunology | 300 Chestnut St Ste 600, Needham, MA 02492 | 2007-07-19 |
| Find all providers in zip 02492 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417557463 | Marva Khalid Dentistry PC | Clinic/Center | 105 Chestnut St Ste 25, Needham, MA 02492-2520 | 2020-10-29 |
| 1356998116 | Pediatric Dental Specialist of Needham | Clinic/Center | 145 Rosemary St Bldg K, Needham, MA 02494-3238 | 2019-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588265771 | Sidhu Family Dental LLC | Clinic/Center | 15 West St Ste 101, Douglas, MA 01516-2160 | 2020-11-04 |
| 1205436276 | The Nurture Frenectomy Center | Clinic/Center | 200 Elm St Ste 1, Pittsfield, MA 01201-6551 | 2020-10-29 |
| 1417555855 | Gardner Smiles Pllc | Clinic/Center | 356 Timpany Blvd, Gardner, MA 01440-5200 | 2020-10-16 |
| 1326646399 | Restoration Smiles, P.C. | Clinic/Center | 2 Coolidge St Ste 202, Hudson, MA 01749-1459 | 2020-10-13 |
| 1295333573 | Brian P. Ganley, Dmd, PC | Clinic/Center | 134 Main St Unit 1c, Groton, MA 01450-1375 | 2020-10-09 |
| 1619583168 | Newton Wellesley Dental Group LLC | Clinic/Center | 447 Centre Street, Same, Newton, MA 02458 | 2020-09-21 |
| 1114533866 | Cdg Back Bay LLC | Clinic/Center | 400 Commonwealth Ave 3rd Floor, Boston, MA 02215 | 2020-09-18 |
| 1831703099 | Beacon Dental Health PC | Clinic/Center | 80 Washington St Bldg B, Norwell, MA 02061-1740 | 2020-09-04 |
| 1487267282 | Shoe City Family Dental PC | Clinic/Center | 103 Merrimack St, Haverhill, MA 01830-6208 | 2020-08-31 |
| 1265043632 | Smile Studio Pllc | Clinic/Center | 1428 Dorchester Ave # 1, Dorchester, MA 02122-2922 | 2020-08-11 |
| Find all providers with the same taxonomy | ||||
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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.