AMG DENTAL GROUP PC (NPI# 1336652270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336652270 |
| Entity Type | Organization |
| Organization Name | AMG DENTAL GROUP PC |
| Other Organization Name | ADVANCED DENTAL CARE OR QUINCY |
| Practice Address |
1255b Hancock St Quincy MA 02169-4342 |
| Practice Telephone | 6177734144 |
| Practice Fax Number | 6177734144 |
| Mailing Telephone | 6177734144 |
| Enumeration Date | 2017-11-14 |
| Last Update Date | 2017-11-14 |
| Authorized Official Name | GHAZWAN GHAZI (DENTIST) |
| Authorized Official Telephone | 6177734144 |
| Authorized Official Credential | D.M.D. , MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Advanced Dental Care or Quincy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053847426 | Amg Dental Group PC | Dentist | 245 Jones Rd, Falmouth, MA 02540-2944 | 2017-05-04 |
| Street Address |
1255B HANCOCK ST |
| City | QUINCY |
| State | MA |
| Zip Code | 02169-4342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255527099 | Quality Dental | Dentist | 1255b Hancock St, Quincy, MA 02169-4342 | 2007-09-14 |
| 1992216212 | Tala Tariq Al-bajjali | Dentist | 1255b Hancock St, Quincy, MA 02169-4342 | 2017-10-12 |
| 1770984676 | Dhafar Witwit | Dentist | 1255b Hancock St, Quincy, MA 02169-4342 | 2014-09-10 |
| 1336558063 | Richard Y Liu | Dentist | 1255b Hancock St, Quincy, MA 02169-4342 | 2014-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902427933 | Trinasia Jones | Counselor | 80 Quarry Street, 3, Quincy, MA 02169 | 2020-04-30 |
| 1164060778 | Bid-milton Physician Associates Inc | Clinic/Center | 100 Walter J. Hannon Pkwy, Quincy, MA 02169 | 2019-12-13 |
| 1669028064 | Renee Yvette Belisle | Occupational Therapist | 1266 Furnance Brook Parkway, Suite #100b, Quincy, MA 02169 | 2019-08-13 |
| 1952953713 | Phuc Thi Diem Ho | Registered Nurse | 18 Rustic Place, Quincy, MA 02169 | 2019-07-11 |
| 1518451939 | Lucille Jordan | Social Worker | 1175 Sea St, Quincy, MA 02169 | 2018-06-19 |
| 1326567447 | Tara Barney | Counselor | 290 Quarry Street Apt. 112, Quincy, MA 02169 | 2017-09-11 |
| 1295251007 | Iona Dental, P.C. (parent Organization) | Dentist | 10 Granite Street, Unit - 4c, Quincy, MA 02169 | 2017-08-15 |
| 1730610247 | Amy S. Chung | Family Medicine | 100 Walter J. Hannon Parkway, Quincy, MA 02169 | 2017-03-26 |
| 1205377314 | Wing Man Ting | Counselor | 2 Moon Island Road, Quincy, MA 02169 | 2017-03-09 |
| 1740726223 | Cameron James Dumas | Pharmacist | 21 23 Stanhope Street, Boston, MA 02169 | 2017-01-09 |
| Find all providers in zip 02169 | ||||
| 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 |
|---|---|---|---|---|
| 1386201226 | Buffalo Prairie Dental Surgery and Sedation Center Pllc | Dentist | 126 N 30th St Ste 102, Quincy, IL 62301-3719 | 2019-05-28 |
| 1972091338 | Sunny Gaudet | Dentist | 130 Parkingway, Quincy, MA 02169-5058 | 2018-05-01 |
| 1891224465 | Xiuping Wang | Dentist | 332 Victory Rd Ste 3a, Quincy, MA 02171-3120 | 2017-06-07 |
| 1386045557 | Sobia Roohi | Dentist | 1071 Southern Artery, Apt 708, Quincy, MA 02169 | 2014-09-08 |
| 1801208681 | Susan Ma | Dentist | 500 Congress St Ste 3e, Quincy, MA 02169-0960 | 2014-05-28 |
| 1083054001 | Rohan Shantanu Kirtane | Dentist | 45 Newport Avenue, Aspendental, Quincy, MA 02169 | 2013-07-05 |
| 1629346499 | Lumiere Dental Spa, LLC | Dentist | 495 Sea St, Quincy, MA 02169-2742 | 2011-12-08 |
| 1821365784 | Dr Dental of Quincy PC | Dentist | 101 Falls Blvd, Quincy, MA 02169-8126 | 2011-11-21 |
| 1417238700 | Lora L Nation | Dentist | 331 S 36th St, Suite 1, Quincy, IL 62301-5840 | 2011-08-31 |
| 1295024073 | Ivana Adamov Dds, PC | Dentist | 111 Willard St, Suite 1b, Quincy, MA 02169 | 2011-04-01 |
| Find all providers in QUINCY | ||||
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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.