BEACON DENTAL HEALTH PC (NPI# 1386258531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386258531 |
| Entity Type | Organization |
| Organization Name | BEACON DENTAL HEALTH PC |
| Practice Address |
25 High St Milton MA 02186-3426 |
| Mailing Address |
198 Tremont St Ste 436 Boston MA 02116-4705 |
| Practice Telephone | 6174186940 |
| Enumeration Date | 2020-09-04 |
| Last Update Date | 2020-09-04 |
| 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 |
|---|---|
| Milton - Perio/Implant | Other Name - Individual/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 |
| 1376186528 | Beacon Dental Health PC | Clinic/Center | 628 Hancock St, Wollaston, MA 02170-2004 | 2019-10-21 |
| 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 |
25 HIGH ST |
| City | MILTON |
| State | MA |
| Zip Code | 02186-3426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548755481 | Andrew Ian Brodsky | Dentist | 25 High St, Milton, MA 02186-3426 | 2018-06-23 |
| 1073867529 | Paul A. Fugazzotto,dds, PC | Dentist | 25 High St, Suite 103, Milton, MA 02186-3426 | 2012-11-06 |
| 1720367022 | Anya Rost | Dentist | 25 High St, Milton, MA 02186-3426 | 2011-08-04 |
| 1235254681 | Paul Anthony Fugazzotto | Dentist | 25 High St, Suite 103, Milton, MA 02186-3426 | 2007-03-21 |
| 1124163704 | Paul Walter Ponichtera | Dentist | 25 High St, Milton, MA 02186-3426 | 2007-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972072296 | Diane M Ferrari | Social Worker | Milton Residents Fund, 535 Canton Ave., Milton, MA 02186 | 2018-11-15 |
| 1013407626 | Cornelius F. Kiley | Psychologist | 414 Adams Street, Milton, MA 02186 | 2018-05-18 |
| 1962929323 | Blake O'donnell | Social Worker | 597 Randolph Ave, Milton, MA 02186 | 2017-08-27 |
| 1144679564 | Milton Hc Operating LLC | Skilled Nursing Facility | 1200 Brush Hill Road, Milton, MA 02186 | 2016-06-07 |
| 1407096928 | Deborah Lavennia Milton | Counselor | 394 Truman Highway, Milton, MA 02186 | 2009-02-24 |
| 1497940548 | Susan Taylor | Psychologist | 1164 Truman Hwy, Milton, MA 02186 | 2007-09-12 |
| 1023137296 | Dolores Ann Shea | Counselor | 51 Bartons Lane, Milton, MA 02186 | 2007-03-28 |
| 1215052360 | Ilene Cloutier | Occupational Therapy Assistant | 1200 Brushhill Rd, Milton, MA 02186 | 2007-03-20 |
| 1730216151 | David Joseph Purcell | Emergency Medicine | 92 Higland St, Milton Hospital, Milton, MA 02186 | 2007-02-27 |
| 1619035250 | Gregg Raymond Melfi | Dentist | 480 Adams Street, Suite 104, Milton, MA 02186 | 2006-12-05 |
| Find all providers in zip 02186 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851929434 | Iti Agarwal, Dds, P.a. | Clinic/Center | 5810 Highway 90, Milton, FL 32583-1762 | 2020-03-30 |
| 1356808067 | Julia Fosterarmstrong | Clinic/Center | 335 Vernal Ave, Milton, WI 53563-1248 | 2019-02-28 |
| 1891288684 | Simply Orthodontics Ma Pllc | Clinic/Center | 4 Franklin St Ste 14, Milton, MA 02186-5522 | 2018-06-07 |
| 1073091955 | Berryhill Dental Clinic, Inc | Clinic/Center | 6780 Berryhill St, Milton, FL 32570-4789 | 2018-08-01 |
| 1548596240 | D. Hensley, Dds Pllc | Clinic/Center | 900 Meridian E, Ste 27, Milton, WA 98354-7001 | 2009-10-30 |
| 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.