JACK AND JILL PEDIATRIC DENTISTRY, LLC


Address: 340 Wood Rd, Suite 288, Braintree, MA 02184-2401
Phone: 6179138307

JACK AND JILL PEDIATRIC DENTISTRY, LLC (NPI# 1184002180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184002180
Entity Type Organization
Organization Name JACK AND JILL PEDIATRIC DENTISTRY, LLC
Practice Address 340 Wood Rd
Suite 288
Braintree
MA 02184-2401
Mailing Address 340 Wood Road
Suite 288
Braintree
MA 02184
Practice Telephone 6179138307
Enumeration Date 2015-05-11
Last Update Date 2015-05-11
Authorized Official Name DR. NGUYET MINH TAU (DENTIST/OWNER)
Authorized Official Telephone 5088648997
Authorized Official Credential DMD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0221X Dentist
Specialization: Pediatric Dentistry
21959 MA Dental Providers

Office Location

Street Address 340 WOOD RD
SUITE 288
City BRAINTREE
State MA
Zip Code 02184-2401

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538140868 Kathryn Anne Foley Ferrari Physical Therapist 340 Wood Rd, Suite 303, Braintree, MA 02184-2401 2005-11-14
1578054730 Angela Tchao Optometrist 340 Wood Rd, Braintree, MA 02184 2018-05-23
1598219313 Sydney Galvin Physical Therapist 340 Wood Rd, Ste 303, Braintree, MA 02184-2401 2016-08-10
1396150629 Blue Hills Sport & Spine Rehabilitation, LLC Physical Therapist 340 Wood Rd, Ste 303, Braintree, MA 02184-2401 2014-06-25
1881024545 Crowning Moment LLC Preferred Provider Organization 340 Wood Rd, Suite 288, Braintree, MA 02184-2401 2013-11-16
1750654018 Brad Thorne Counselor 340 Wood Rd, Braintree, MA 02184-2401 2012-02-17
1992935381 Allison P Daly Nurse Practitioner 340 Wood Rd, 305, Braintree, MA 02184-2401 2009-07-20
1780819300 New England Pain Associates, PC Anesthesiology 340 Wood Rd, Ste. 204, Braintree, MA 02184-2401 2009-05-27
1710145867 Deborah Levenson Physical Therapist 340 Wood Rd, Suite 102, Braintree, MA 02184-2401 2008-05-27
1417114695 Laura Cecchi Mccullough Pediatrics 340 Wood Rd, Suite 301, Braintree, MA 02184-2401 2008-05-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396342234 Albert Jusu Counselor Arbour Counseling Services, 400 Washington Street, Braintree, MA 02184 2020-10-05
1356952378 Samantha Taylor O'malley Student in an Organized Health Care Education/Training Program 639 Granite Street, N/a, Brainetree, MA 02184 2020-08-13
1184104499 Andrea Boudreau Social Worker Coastal Dcf, 220 R Forbes Road, Braintree, MA 02184 2018-08-16
1144747221 Mina Schafft Dmd Pllc Dentist 321 Washington Street, Unit 101, Westwood, MA 02184 2017-08-29
1922520592 Samson Michel Counselor 400 Washington St. Suite 106, Braintree, MA 02184 2017-07-14
1760912653 Shannon R Harvey Behavioral Analyst 501 Commerce Dr 4207, Braintree, MA 02184 2017-06-14
1275074429 Colleen Dalton Behavioral Analyst 32 Powder Hill Dr, Braintree, MA 02184 2017-03-20
1295273266 Jessica Morris Occupational Therapist 16 Kensington Street, Braintree, MA 02184 2017-02-09
1568834562 Lisa Morrill Counselor 400 Washington St Ste 106, Braintree, MA 02184 2015-10-29
1831560382 Dr Dental of Braintree PC Dentist 284 Grove St, Braintree, MA 02184 2015-10-09
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Taxonomy Information

Taxonomy Code 1223P0221X
Grouping Dental Providers
Classification Dentist
Specialization Pediatric Dentistry

Taxonomy Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1437784378 Braintree Dentistry and Braces PC Dentist 292 Grove St, Braintree, MA 02184-7209 2020-03-11
1801943394 Braintree Pediatric Dental Associates, LLC Dentist 400 Washington St, #301, Braintree, MA 02184-4729 2007-01-05
1629047139 Raymond Widican Dentist 111 Grossman Dr, Braintree, MA 02184-4997 2006-03-16

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1326672791 Azza Ahmed Dentist 635 Albany St. G-744, Boston, MA 02118 2020-02-25
1215575311 Martha Forero Dentist 1 Kneeland St Fl 15, Boston, MA 02111-1527 2019-12-19
1215574694 Nistar Pediatric Dentistry Pllc Dentist 76 Merrimack St Ste 8a, Haverhill, MA 01830-6246 2019-12-05
1952968729 Hampshire Meadow Family & Pediatric Dentistry Dentist 207 Russell St Apt 18, Hadley, MA 01035-5907 2019-05-28
1801352661 Lavoie Pediatric Dentistry Dentist 2200 Gar Hwy Ste 2, Swansea, MA 02777-3935 2019-02-18
1790254845 Somerville Pediatric Dentistry and Orthodontics Dentist 51 Cross St, Somerville, MA 02145-3244 2018-11-19
1730660903 Matthew Brian Harper Dentist 300 Longwood Ave Fl 4, Boston, MA 02115-5724 2018-08-27
1891286316 Azadeh Sajjadi Dentist 29 Angela Ln, Watertown, MA 02472-1734 2018-05-21
1841789468 Tiffany Juliana Lewis Dentist 413 Broadway Ste B, Methuen, MA 01844-2062 2018-05-09
1700387453 Dorchester Pediatric Dentistry and Orthodontics, PC Dentist 1192 Blue Hill Ave Unit 1192, Boston, MA 02126-1819 2018-02-27
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Competitor

Search similar providers

City BRAINTREE
Zip Code 02184

Improve Information

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Dataset Information

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.

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