SAUGUS DENTISTRY AND BRACES PC (NPI# 1174147631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174147631 |
| Entity Type | Organization |
| Organization Name | SAUGUS DENTISTRY AND BRACES PC |
| Practice Address |
331 Broadway Ste 1 Saugus MA 01906-1905 |
| Mailing Address |
5 Mount Royal Ave Ste 300 Marlborough MA 01752-1900 |
| Practice Telephone | 7813002500 |
| Mailing Telephone | 5088723072 |
| Enumeration Date | 2020-06-01 |
| Last Update Date | 2020-09-30 |
| Authorized Official Name | JOANNE TAVANO (CFO) |
| Authorized Official Telephone | 9785801524 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers | ||
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Street Address |
331 BROADWAY STE 1 |
| City | SAUGUS |
| State | MA |
| Zip Code | 01906-1905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386157444 | Dr Dental of Saugus PC | Clinic/Center | 331 Broadway Ste 1, Saugus, MA 01906-1905 | 2017-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780131813 | Safety Home Health Care Agency | Home Health | 89 Fairmount Ave, Saugus, MA 01906 | 2016-09-07 |
| 1114383585 | Psychiatric Mental Health Services | Counselor | 1288 Broadway, Saugus, MA 01906 | 2016-01-14 |
| 1548630817 | Marie Decarney | Counselor | 7 Juliette Rd, Saugus, MA 01906 | 2015-09-30 |
| 1265802615 | Anh Duong | General Acute Care Hospital | 10 Bow Street Ext, Saugus, MA 01906 | 2015-09-29 |
| 1760753107 | Melissa Jean Tilton | Occupational Therapy Assistant | 28 Elaine Ave, Saugus, MA 01906 | 2012-01-17 |
| 1235320698 | Dr. Domenic A. D'angelo and Associates | Optometrist | 171 Broadway Rte 1 S, Saugus, MA 01906 | 2007-08-09 |
| 1851422901 | Stephen G. Petinge | Dentist | 15 Essex Street, Saugus, MA 01906 | 2007-03-08 |
| 1053466235 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 159 Square One Mall, Saugus, MA 01906 | 2007-01-25 |
| 1518060771 | For Eyes Optical, Inc. of Pennsylvania | Eyewear Supplier (Equipment, not the service) | 600 Broadway Ste C, Saugus, MA 01906 | 2006-09-06 |
| 1528078284 | North Suburban Dialysis Center Partnership | Clinic/Center | 124 Broadway Route 1 North, Augustine's Plaza, Saugus, MA 01906 | 2006-08-08 |
| Find all providers in zip 01906 | ||||
| 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 |
|---|---|---|---|---|
| 1548543077 | Robert S Lim | Dentist | 26572 Bouguet Canyon Rd., Saugus, CA 91350 | 2011-09-21 |
| 1659542892 | Anthony John Bakopolus | Dentist | 41 Jackson St, Saugus, MA 01906-3751 | 2008-03-16 |
| 1568650893 | Brandon Thai Dds, Inc | Dentist | 28100 Bouquet Canyon Rd, 200, Saugus, CA 91350-2005 | 2007-10-11 |
| 1356473276 | Stephen G. Petinge D.m.d | Dentist | 15 Essex St, Saugus, MA 01906-4309 | 2007-03-09 |
| 1851422901 | Stephen G. Petinge | Dentist | 15 Essex Street, Saugus, MA 01906 | 2007-03-08 |
| 1053481663 | Brandon Tuan Thai | Dentist | 28100 Bouquet Canyon Rd 200, Saugus, CA 91350-2006 | 2006-11-09 |
| 1649365339 | Mary Riley Pomponi | Dentist | 467 Essex St, Saugus, MA 01906-4144 | 2006-10-04 |
| 1013927656 | John Moraga | Dentist | 27931 Seco Canyon Rd, Saugus, CA 91350-3872 | 2006-08-08 |
| 1942216593 | James Albert Hazlett | Dentist | 311 Central St, Saugus, MA 01906-2341 | 2006-08-01 |
| 1144234964 | Michael Carl Davis | Dentist | 347 Central St, Saugus, MA 01906 | 2006-07-28 |
| Find all providers in SAUGUS | ||||
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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.