SAGE FAMILY DENTAL (NPI# 1134652175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134652175 |
| Entity Type | Organization |
| Organization Name | SAGE FAMILY DENTAL |
| Other Organization Name | SAGE FAMILY DENTAL |
| Practice Address |
114 Washington Street Dorchester MA 02121 |
| Practice Telephone | 6174463998 |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2017-04-24 |
| Authorized Official Name | DR. SHEINA JEAN-MARIE (PRESIDENT) |
| Authorized Official Telephone | 6174463998 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Sage Family Dental | Doing Business As Name - Organization |
| Street Address |
114 WASHINGTON STREET |
| City | DORCHESTER |
| State | MA |
| Zip Code | 02121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417502071 | Zion Ventures Inc. | Registered Nurse | 22 Oldfields Road, Apt 1, Boston, MA 02121 | 2019-08-09 |
| 1245758275 | Danna Caliz | Social Worker | 321 Bluehill Ave, Boston, MA 02121 | 2017-08-30 |
| 1619490331 | Rashane Doyle | Developmental Therapist | 39 Mclellan St, Boston, MA 02121 | 2017-07-25 |
| 1619415353 | Khisha Gillham | Registered Nurse | 356 Seaver St, Boston, MA 02121 | 2017-02-02 |
| 1396283149 | Spaulding | Rehabilitation Unit | 356 Sever St, Boston, MA 02121 | 2017-02-01 |
| 1811431935 | Jennifer Latoya Corbin | Social Worker | 321 Blue Hill Avenue, Dorchester, MA 02121 | 2016-12-08 |
| 1932597499 | Sheila Brown | Nurse Practitioner | 218 Humboldt Avenue, Boston, MA 02121 | 2015-01-06 |
| 1629498605 | Liana Marie Williams | Behavioral Analyst | 434 Warren St., Roxbury, MA 02121 | 2014-04-17 |
| 1932547353 | Chandra C Williams | Counselor | 504 Dudley Street, Roxbury, MA 02121 | 2013-06-07 |
| 1467711143 | Soraida Flores | Community Health Worker | 15 Everton, 2, Dorchester, MA 02121 | 2012-05-15 |
| Find all providers in zip 02121 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073136933 | Reynaldo Christy Riboul | Dentist | 12 Grant St Unit 2, Dorchester, MA 02125-1223 | 2020-05-26 |
| 1699133314 | Divya Upadhyay | Dentist | 614 Blue Hill Ave, Dorchester, MA 02121-3257 | 2016-02-09 |
| 1508176595 | Hoangvu M Vo | Dentist | 1370 Dorchester Ave # 32, Dorchester, MA 02122-2921 | 2010-10-08 |
| 1134378656 | Xuan Duong | Dentist | 1417 Dorchester Ave, Dorchester, MA 02122-2915 | 2008-09-09 |
| 1497968952 | Peach B Dore-tyrell | Dentist | 172 Ashmont St., Dorchester, MA 02124 | 2007-05-08 |
| 1144341603 | Nathan Quoc Duong | Dentist | 253 Adams St, Dorchester, MA 02122-1334 | 2007-04-03 |
| 1942334198 | John A Sifakis | Dentist | 771 Adams St, Dorchester, MA 02122-1919 | 2007-03-16 |
| 1588704399 | Michael Peter Folan | Dentist | 722 Adams St, Dorchester, MA 02122-1921 | 2007-02-08 |
| 1730243684 | Frank T Nghiem | Dentist | 1510 Dorchester Ave, 1510 Dorchester Ave, Dorchester, MA 02122-1327 | 2006-12-21 |
| 1114090131 | Michael Gibson | Dentist | 424 E Center Avenue, Dorchester, WI 54425-0236 | 2006-11-16 |
| Find all providers in DORCHESTER | ||||
| City | DORCHESTER |
| Zip Code | 02121 |
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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.