SIMPLY DENTAL OF BRAINTREE PLLC (NPI# 1376018705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376018705 |
| Entity Type | Organization |
| Organization Name | SIMPLY DENTAL OF BRAINTREE PLLC |
| Practice Address |
10 Forbes Rd Braintree MA 02184-2605 |
| Mailing Address |
87 Elm St Ste 302 Hopkinton MA 01748-1638 |
| Practice Telephone | 5085898270 |
| Mailing Telephone | 5085898270 |
| Enumeration Date | 2018-10-12 |
| Last Update Date | 2020-08-07 |
| Authorized Official Name | HOUSSAM ALKHOURY (OWNER) |
| Authorized Official Telephone | 5085898270 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 545 Washington St, Braintree, MA 021845627 | 5085893400 |
| Street Address |
10 FORBES RD |
| City | BRAINTREE |
| State | MA |
| Zip Code | 02184-2605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740231729 | Gina M Manzo | Internal Medicine | 10 Forbes Rd, Suite 190, Braintree, MA 02184-2605 | 2006-05-13 |
| 1386007904 | Victoria Lynn Milligan | Social Worker | 10 Forbes Rd, Suite 190, Braintree, MA 02184-2605 | 2016-03-31 |
| 1265565915 | Steven Wayne Bergman | Dentist | 10 Forbes Rd, Suite 230, Braintree, MA 02184-2605 | 2007-03-13 |
| 1740313402 | Clark Joseph Ingoldsby | Dentist | 10 Forbes Rd, Suite 230, Braintree, MA 02184-2605 | 2007-03-13 |
| 1528191293 | James R Zonghetti | Dentist | 10 Forbes Rd, Suite 230, Braintree, MA 02184-2605 | 2007-03-13 |
| 1932290913 | Ameripath New York LLC | Clinical Medical Laboratory | 10 Forbes Rd, Suite 260e, Braintree, MA 02184-2605 | 2006-09-27 |
| 1093744674 | Steven Bergman, Dmd & Clark Ingoldsby, Dds, PC | Dentist | 10 Forbes Rd, Suite 230, Braintree, MA 02184-2605 | 2006-07-03 |
| 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 |
| Find all providers in zip 02184 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487923249 | Gentle Dental Braintree | Clinic/Center | 102 Pearl St, Braintree, MA 02184-6521 | 2011-12-23 |
| 1356975874 | 42 North Dental Care, LLC | Clinic/Center | 382 Grove St, Braintree, MA 02184-7324 | 2020-02-24 |
| 1841717741 | Sherine Rabbat Dds, LLC | Clinic/Center | 400 Washington St Ste 103, Braintree, MA 02184-4764 | 2017-08-23 |
| 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.