SIMPLY ORTHODONTICS OF MARLBOROUGH, PLLC (NPI# 1417436080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417436080 |
| Entity Type | Organization |
| Organization Name | SIMPLY ORTHODONTICS OF MARLBOROUGH, PLLC |
| Practice Address |
340 Maple St Marlborough MA 01752-3200 |
| Mailing Address |
87 Elm St Ste 302 Hopkinton MA 01748-1638 |
| Practice Telephone | 5085898270 |
| Practice Fax Number | 5085898270 |
| Mailing Telephone | 5085898270 |
| Mailing Fax Number | 5084352690 |
| Enumeration Date | 2018-08-14 |
| Last Update Date | 2018-08-14 |
| Authorized Official Name | AIMEE HODGERNEY (OPERATIONS MANAGER) |
| Authorized Official Telephone | 5085898270 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
DN20511 | MA | Ambulatory Health Care Facilities |
| Street Address |
340 MAPLE ST |
| City | MARLBOROUGH |
| State | MA |
| Zip Code | 01752-3200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922083849 | Julie F Ozaydin | Family Medicine | 340 Maple St, Suite 300, Marlborough, MA 01752-3200 | 2005-12-14 |
| 1184238198 | Jacob Mourtada | Counselor | 340 Maple St, Marlborough, MA 01752-3200 | 2020-09-08 |
| 1609418920 | Jeanette Hall | Counselor | 340 Maple St, Marlborough, MA 01752-3200 | 2019-10-09 |
| 1104474147 | Brian Michael Bradley I | Student in an Organized Health Care Education/Training Program | 340 Maple St, Marlborough, MA 01752-3200 | 2019-09-03 |
| 1205310109 | Jessica L Craig | Counselor | 340 Maple St, Marlborough, MA 01752 | 2018-09-18 |
| 1821571571 | Alexandra Catherine Nagel | Counselor | 340 Maple St, Marlborough, MA 01752-3200 | 2018-09-10 |
| 1477032241 | Nadine Lucas | Counselor | 340 Maple St, Marlborough, MA 01752-3200 | 2018-08-12 |
| 1790204873 | Erin Keeney | Counselor | 340 Maple St, Marlborough, MA 01752 | 2017-09-11 |
| 1568985679 | Lucy Hanbury | Counselor | 340 Maple St, Marlborough, MA 01752-3200 | 2017-07-20 |
| 1508394826 | Melissa Duca | Counselor | 340 Maple St, Marlborough, MA 01752-3200 | 2017-05-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811597883 | Tiffany Marie Stewart | Behavior Technician | 255 Cedar Hill Street Suite 200, Marlborough, MA 01752 | 2020-10-29 |
| 1235754664 | Jessica Michelle Rudolph | Behavior Technician | 22 Cedar Hill Street, Suite 200, Marlborough, MA 01752 | 2020-06-11 |
| 1619501012 | Kady Potter | Behavioral Analyst | 225 Cedar Hill Street, Marlborough, MA 01752 | 2020-02-25 |
| 1639701113 | Cheyenne-lynn Charnik | Behavior Technician | 255 Cedar Hill St, Suite 200, Marlborough, MA 01752 | 2020-02-12 |
| 1063042711 | Nichole Lowder | Behavioral Analyst | 22 5 Cedar Hill Street Suite 200, Marlborough, MA 01752 | 2020-01-22 |
| 1164068649 | Ludiana Andrade | Behavioral Analyst | 225 Cedar Hill Street Suite 200, Marlborough, MA 01752 | 2019-11-20 |
| 1215583646 | Olivia Setzer | Behavior Technician | 225 Cedar Street, Suite 200, Marlborough, MA 01752 | 2019-08-12 |
| 1306490867 | Rachael Lee Pennachi | Behavior Technician | 225 Cedar Hill Street Ste 200, Marlborough, MA 01752 | 2019-08-01 |
| 1962964130 | Hero Therapy LLC | Behavioral Analyst | 11 Apex Dr Ste 300a, Marlborough, MA 01752 | 2019-04-04 |
| 1780190728 | Rachel Castleberry | Counselor | Advocates, 340 Maple Street 4th Floor, Marlborough, MA 01752 | 2017-12-28 |
| Find all providers in zip 01752 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538719307 | Dr. Vanessa D. Newton, P.C. | Clinic/Center | 221 Boston Post Rd E Ste 330, Marlborough, MA 01752-3527 | 2019-09-13 |
| 1275761363 | Dental Associates of Marlborough, Dr. Nehra LLC | Clinic/Center | 222 Bolton St, Marlborough, MA 01752-3902 | 2009-06-26 |
| 1417141680 | Marlboro Orthodontics and Associates | Clinic/Center | 340 Maple St, Suite 205, Marlborough, MA 01752-3200 | 2007-08-30 |
| 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 | ||||
| City | MARLBOROUGH |
| Zip Code | 01752 |
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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.