GENTLE DENTAL METHUEN (NPI# 1184993842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184993842 |
| Entity Type | Organization |
| Organization Name | GENTLE DENTAL METHUEN |
| Practice Address |
40 Jackson St Methuen MA 01844-5000 |
| Practice Telephone | 9786820020 |
| Mailing Telephone | 9786820020 |
| Enumeration Date | 2011-12-23 |
| Last Update Date | 2011-12-23 |
| Authorized Official Name | DONNA SIMONDS (ADMINSTRATOR) |
| Authorized Official Telephone | 7816470772 |
| Is Organization Subpart | Y |
| Parent Organization Name | GENTLE DENTAL ASSOCIATES, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Street Address |
40 JACKSON ST |
| City | METHUEN |
| State | MA |
| Zip Code | 01844-5000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306901715 | Mythili Prakash | Dentist | 40 Jackson St, Methuen, MA 01844-5014 | 2006-12-26 |
| 1679180897 | Roxane Salehi Sadaghiani | Dentist | 40 Jackson St, Methuen, MA 01844-5000 | 2020-10-01 |
| 1306108832 | Hoang Lisa Do | Dentist | 40 Jackson St, Methuen, MA 01844-5000 | 2012-06-11 |
| 1992012140 | Amirali Fattahi | Dentist | 40 Jackson St, Methuen, MA 01844-5000 | 2010-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093313629 | Claude Zeligou | Behavior Technician | Guy Lougbo, 26 Loring Road, Methuan, MA 01844 | 2020-10-15 |
| 1265938609 | Angely Martinez | Student in an Organized Health Care Education/Training Program | 28 Kirk Street, Methuen, MA 01844 | 2018-04-04 |
| 1073037909 | Lauren Boenitz | Physical Therapy Assistant | 318 1/2 Broadway, Methuen, MA 01844 | 2017-08-02 |
| 1821512229 | Janice Marie Benoit | Registered Nurse | 12 Ingales Court, M, Methuen, MA 01844 | 2017-07-28 |
| 1194266825 | Zuri Counseling Services LLC | Nurse Practitioner | 39 Haverhill Street, Methuen, MA 01844 | 2017-03-14 |
| 1740732775 | Florinda Delarosa | Assistant Behavior Analyst | 106 North Lowell St, Methuen, MA 01844 | 2016-10-25 |
| 1376094888 | Kristan Mazaka | Social Worker | 19 1/2 Mystic Street, Methuen, MA 01844 | 2016-10-19 |
| 1013365394 | Diana Echeverry | Counselor | 271 Broadway St. Apartment 7, Methuen, MA 01844 | 2016-05-27 |
| 1104283944 | Danielle Lee Lambert | Counselor | 100a Haverhill St., Methuen, MA 01844 | 2016-01-25 |
| 1265839443 | Josef Peter Kish | Counselor | 100a Haverhill Street, Metheun, MA 01844 | 2014-12-03 |
| Find all providers in zip 01844 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255843587 | Amazing Family Dental | Clinic/Center | 436 Broadway, Methuen, MA 01844-2061 | 2017-10-26 |
| 1902356306 | Md Consultants, Inc | Clinic/Center | 413 Broadway, Suite B, Methuen, MA 01844-2062 | 2016-10-10 |
| 1083907406 | Dr. Dental of Methuen, PC | Clinic/Center | 162 Haverhill St, Methuen, MA 01844-3462 | 2011-05-18 |
| 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 |
| 1417557463 | Marva Khalid Dentistry PC | Clinic/Center | 105 Chestnut St Ste 25, Needham, MA 02492-2520 | 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 |
| 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.