BEACON DENTAL HEALTH PC (NPI# 1376186528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376186528 |
Entity Type | Organization |
Organization Name | BEACON DENTAL HEALTH PC |
Practice Address |
628 Hancock St Wollaston MA 02170-2004 |
Mailing Address |
198 Tremont St Ste 436 Boston MA 02116-4705 |
Practice Telephone | 6174186940 |
Mailing Telephone | 6174186940 |
Enumeration Date | 2019-10-21 |
Last Update Date | 2019-10-21 |
Authorized Official Name | RISHI SHUKLA (AUTHORIZED ADMINISTRATOR) |
Authorized Official Telephone | 6174186940 |
Is Organization Subpart | Y |
Parent Organization Name | BEACON DENTAL HEALTH PC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Wollaston Dental Group | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831703099 | Beacon Dental Health PC | Clinic/Center | 80 Washington St Bldg B, Norwell, MA 02061-1740 | 2020-09-04 |
1407465743 | Beacon Dental Health PC | Clinic/Center | 21 Merchants Row Ste 2a, Boston, MA 02109-2040 | 2020-07-22 |
1427695063 | Beacon Dental Health PC | Clinic/Center | 1 Scobee Cir # 2a, Plymouth, MA 02360-4887 | 2019-12-03 |
1881069680 | Beacon Dental Health PC | Dentist | 198 Tremont St, Suite 436, Boston, MA 02116-4705 | 2015-12-04 |
1528674157 | Beacon Dental Health PC | Clinic/Center | 3 Market Xing, Plymouth, MA 02360-7841 | 2020-09-18 |
1609482421 | Beacon Dental Health PC | Clinic/Center | 59 Columbian St, Weymouth, MA 02190-2414 | 2020-09-17 |
1386258531 | Beacon Dental Health PC | Clinic/Center | 25 High St, Milton, MA 02186-3426 | 2020-09-04 |
1699277368 | Beacon Dental Health PC | Clinic/Center | 399 W Center St, West Bridgewater, MA 02379-1623 | 2018-03-08 |
1437516218 | Beacon Dental Health PC | Dentist | 1645 Falmouth Rd, Suite #4b, Centerville, MA 02632-2932 | 2016-01-25 |
1285091363 | Beacon Dental Health PC | Dentist | 249 Station Ave, South Yarmouth, MA 02664-1863 | 2016-01-20 |
Street Address |
628 HANCOCK ST |
City | WOLLASTON |
State | MA |
Zip Code | 02170-2004 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003932401 | James Martin Mcdonough | Dentist | 628 Hancock St, Wollaston, MA 02170-2004 | 2007-03-21 |
1053828343 | Nancy Lee Demarco | Dentist | 628 Hancock St, Wollaston, MA 02170-2004 | 2018-01-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881123545 | Jennyfer Destin | Social Worker | 859 Willard Street, Quincy, MA 02170 | 2017-06-07 |
1154634848 | Christopher Le | Pharmacist | 343 Newport Ave, Quincy, MA 02170 | 2010-07-22 |
1528084902 | Patrick J. Dumont | Acupuncturist | 605 Hancock Street, Quincy, MA 02170 | 2006-07-15 |
1831640408 | Atlas Pharmahealth, Inc. | Pharmacy | 343 Newport Ave, Quincy, MA 02170 | 2016-10-19 |
1578813143 | Medi-son Solutions, LLC | Pharmacy | 343 Newport Ave, Quincy, MA 02170 | 2012-09-11 |
1194021790 | Scott J Rosner | Chiropractor | 605 Hancock Street, Quincy, MA 02170 | 2011-01-31 |
1902039357 | Wendy B Knight | Social Worker | 23 E Elm Ave, Quincy, MA 02170 | 2009-09-02 |
1689856882 | Loretta Delp | Developmental Therapist | 59 Farrington St, Quincy, MA 02170-1001 | 2007-11-29 |
1699280651 | Cindy Chen | Behavior Technician | 108 Farrington St, Quincy, MA 02170-1002 | 2017-12-12 |
1346782810 | Beverly L Moore | Health Educator | 157 Wilson Ave, Quincy, MA 02170-1037 | 2016-11-15 |
Find all providers in zip 02170 |
Taxonomy Code | 261QD0000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Dental |
Definition to come... |
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.