SHANTI DENTAL PC (NPI# 1336562537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336562537 |
| Entity Type | Organization |
| Organization Name | SHANTI DENTAL PC |
| Other Organization Name | SHANTI DENTAL SOMERSET |
| Practice Address |
481 South St Somerset MA 02726-5620 |
| Mailing Address |
222 Milliken Blvd Suite 5 3rd Floor Fall River MA 02721-1623 |
| Practice Telephone | 5086798669 |
| Mailing Telephone | 5086727525 |
| Enumeration Date | 2014-01-24 |
| Last Update Date | 2014-01-24 |
| Authorized Official Name | DR. SATHISH L GOBICHETTYPALAYAM (PRESIDENT) |
| Authorized Official Telephone | 6179804734 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
22099 | MA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Shanti Dental Somerset | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932431723 | Shanti Dental PC | Clinic/Center | 222 Milliken Blvd, Fall River, MA 02721-1623 | 2010-02-04 |
| Street Address |
481 SOUTH ST |
| City | SOMERSET |
| State | MA |
| Zip Code | 02726-5620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164034252 | Paul Michael Shaughnessy Jr. | Pharmacist | 296 Buffington St, Somerset, MA 02726 | 2020-08-19 |
| 1134630775 | James M Theriault | Occupational Therapy Assistant | 279 Vermont Ave, Somerset, MA 02726 | 2017-10-23 |
| 1033634951 | Ronald Alec Coulstring Jr. | Physical Therapy Assistant | 1440 Grand Army of The Republic, Somerset, MA 02726 | 2017-08-11 |
| 1447707906 | Jessica Solup | Occupational Therapist | 158 Highview Avenue, Somerset, MA 02726 | 2016-09-01 |
| 1649639956 | Fisher Bus Inc | Secured Medical Transport (VAN) | 586 County Street, Somerset, MA 02726 | 2016-02-15 |
| 1104248988 | Jennifer Doyle | Speech-Language Pathologist | 668 Wood St, Somerset, MA 02726 | 2014-01-13 |
| 1528143906 | Joshua John Gurney | Physical Therapist | 67 G.a.r. Highway, Somerset, MA 02726 | 2006-10-26 |
| 1700972247 | Margaret Gray Clark-moroff | Optometrist | 44 Shawomet Avenue, Somerset, MA 02726 | 2006-10-04 |
| 1609884683 | Donald Albert Forbes | Dentist | 481 South Street, Somerset, MA 02726 | 2006-08-04 |
| 1124046685 | Philip Michael Robitaille | Dentist | 1188 County St, Somerset, MA 02726 | 2006-07-17 |
| Find all providers in zip 02726 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841361581 | Advanced Dental Arts, P.a. | Clinic/Center | 738 Easton Ave, Somerset, NJ 08873-1821 | 2006-11-13 |
| 1225509300 | Destination Dental Care, LLC | Clinic/Center | 7 Cedar Grove Ln Ste 33, Somerset, NJ 08873 | 2018-12-16 |
| 1356733869 | Nwando Udom Dds LLC | Clinic/Center | 84 Veronica Ave, Suite B1017, Somerset, NJ 08873-3529 | 2015-02-21 |
| 1609265438 | Vanderpool Dental Care, LLC | Clinic/Center | 863 County St, Somerset, MA 02726 | 2015-01-16 |
| 1952730459 | Pdg, P.a. | Clinic/Center | 705 Rivard St, Suite 1, Somerset, WI 54025-7455 | 2013-11-05 |
| 1639241854 | William A. Caudill, Dmd, Psc | Clinic/Center | 100 Hardin Ln, Suite A, Somerset, KY 42503-3812 | 2006-11-14 |
| 1528137197 | Somerset Family Dentistry, LLC | Clinic/Center | 11 Clyde Rd, Suites 101-102, Somerset, NJ 08873-5035 | 2006-11-07 |
| 1952318693 | The Art of Dentistry | Clinic/Center | 1303 Route 27, Somerset, NJ 08873 | 2006-08-02 |
| 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.