HARBORSIDE DENTAL (NPI# 1295995280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295995280 |
| Entity Type | Organization |
| Organization Name | HARBORSIDE DENTAL |
| Other Organization Name | NO |
| Practice Address |
127 Eastern Ave Gloucester MA 01930-1802 |
| Practice Telephone | 9785463821 |
| Practice Fax Number | 9785463821 |
| Mailing Telephone | 9785463821 |
| Mailing Fax Number | 9785463821 |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2008-06-12 |
| Authorized Official Name | SERGEY ZEMLYANSKY (DENTIST) |
| Authorized Official Telephone | 9785463821 |
| Authorized Official Credential | D.M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BLUE CROSS AND BLUE SHIELD | V05039 | 01 |
| Other Name | Type Code |
|---|---|
| no | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | HARBORSIDE DENTAL TEAM PLLC | 100 Meridian Centre Blvd., Suite 300, Rochester, Ny 14618 |
| Street Address |
127 EASTERN AVE |
| City | GLOUCESTER |
| State | MA |
| Zip Code | 01930-1802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871501510 | Charlene Dubois Glynn | Optometrist | 127 Eastern Ave, Gloucester, MA 01930-1802 | 2006-08-04 |
| 1457874554 | Ocean Eye Care Pllc | Optometrist | 127 Eastern Ave, Gloucester, MA 01930-1802 | 2017-07-20 |
| 1588111744 | Oriana Distefano | Pharmacist | 127 Eastern Ave, Gloucester, MA 01930-1802 | 2016-09-06 |
| 1578823829 | Lyn Desjardins Optometry LLC | Optometrist | 127 Eastern Ave, Gloucester, MA 01930-1802 | 2012-05-21 |
| 1962637546 | Nicholas Baccari | Pharmacist | 127 Eastern Ave, Gloucester, MA 01930-1802 | 2009-05-26 |
| 1891810545 | Ocean Optical, Inc. | Technician/Technologist | 127 Eastern Ave, Cape Ann Market Place, Gloucester, MA 01930-1802 | 2007-03-20 |
| 1811091416 | Sergey Zemlyansky | Dentist | 127 Eastern Ave, Gloucester, MA 01930-1802 | 2006-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528538592 | Kimberly Moniz | Counselor | 3 & 4 Blackburn Center, Gloucester, MA 01930 | 2018-12-03 |
| 1770066714 | Anneliese Deckert | Counselor | 3 & 4 Blackburn Center Drive, Gloucester, MA 01930 | 2018-09-14 |
| 1497231070 | Erika Ackermann Duffy | Social Worker | Beeman Elementary School, 138 Cherry Street, Gloucester, MA 01930 | 2018-07-17 |
| 1639677958 | Sarah Bethany Stockwell | Counselor | 3 Blackburn Center Drive, Gloucester, MA 01930 | 2018-02-01 |
| 1164931721 | Samantha Carapellucci | Counselor | Children Friend Familes, 33 Commercial Street, Gloucester, MA 01930 | 2017-09-27 |
| 1215455860 | Jennifer Catherine Hynes | Social Worker | 33 Commercial Street, Gloucester, MA 01930 | 2017-09-05 |
| 1952829590 | Jessica Demarjian | Counselor | 24 Glemere Ave, Gloucester, MA 01930 | 2017-09-04 |
| 1033636600 | Anne Kirk Drueding | Social Worker | 29a Emerson Avenue, Gloucester, MA 01930 | 2017-08-24 |
| 1982128211 | Kristen Elizabeth Drischler | Registered Nurse | 29a Emerson Ave, Gloucester, MA 01930 | 2017-07-28 |
| 1992229207 | Jacqueline Marie Misuraca | Registered Nurse | 29 A Emerson Ave, Gloucester, MA 01930 | 2017-07-28 |
| Find all providers in zip 01930 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700149598 | Lender Seacoast PC | Clinic/Center | 27 Commercial St, Gloucester, MA 01930-5033 | 2012-06-18 |
| 1285250860 | Enkin Family Dental Pllc | Clinic/Center | 1 Essex Ave, Gloucester, MA 01930-4927 | 2020-06-19 |
| 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 | ||||
| City | GLOUCESTER |
| Zip Code | 01930 |
Please comment or provide details below to improve the information on HARBORSIDE DENTAL.
| 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.