SOUTH SHORE PEDIATRIC DENTISTRY (NPI# 1427484062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427484062 |
| Entity Type | Organization |
| Organization Name | SOUTH SHORE PEDIATRIC DENTISTRY |
| Practice Address |
5 Federal St Weymouth MA 02188-2108 |
| Practice Telephone | 7813405437 |
| Practice Fax Number | 7813405438 |
| Mailing Telephone | 7813405437 |
| Mailing Fax Number | 7813405438 |
| Enumeration Date | 2013-09-15 |
| Last Update Date | 2013-09-15 |
| Authorized Official Name | DR. SALLY SANGGUOT HUA (OWNER) |
| Authorized Official Telephone | 7813405437 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
DN1855205 | MA | Dental Providers |
| Street Address |
5 FEDERAL ST |
| City | WEYMOUTH |
| State | MA |
| Zip Code | 02188-2108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780033399 | Amy Kim | Dentist | 5 Federal St, Weymouth, MA 02188-2108 | 2016-06-06 |
| 1003016429 | Sally Hua | Dentist | 5 Federal St, Weymouth, MA 02188-2108 | 2007-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033604400 | Elizabeth Dugan Moran | Counselor | Emergency Department Admin, Dowling Building Room #1103, Boston Medical Center, 1 Boston Medical Center Place, Boston, MA 02188 | 2018-06-27 |
| 1730608241 | Kathleen Iacobacci | Massage Therapist | 551 Washington Street, Weymouth Massage (at Northeast Health & Fitness), Weymouth, MA 02188 | 2017-09-15 |
| 1205365590 | Jillian London | Chiropractor | 35 Rockway Ave Unit 302, Weymouth, MA 02188 | 2017-06-08 |
| 1508301284 | Jaylee Lebreton | Student in an Organized Health Care Education/Training Program | 119 King Avenue, Unit F, Weymouth, MA 02188 | 2017-01-04 |
| 1073907390 | Andrea Christine Jones | Behavioral Analyst | 121 Hibiscus Ave, Weymouth, MA 02188 | 2015-03-25 |
| 1871720425 | Kim Robyn Trudel | Dietitian, Registered | 75 Finnell Drive, Weymouth, MA 02188 | 2009-06-22 |
| 1699913889 | Charles Njunge Kingara | Licensed Practical Nurse | 56 Aududon Rd, Apt407, Weymouth, MA 02188 | 2009-01-27 |
| 1811011414 | Juan Kay Ferry | Chiropractor | 440 Washington Street, Weymouth, MA 02188 | 2007-03-19 |
| 1023081916 | James J Mensching | Emergency Medicine | 330 Washington Street, Weymouth, MA 02188 | 2006-02-10 |
| 1316942162 | Eascare LLC | Ambulance | 25 Main St, Weymouth, MA 02188 | 2005-06-17 |
| Find all providers in zip 02188 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780033399 | Amy Kim | Dentist | 5 Federal St, Weymouth, MA 02188-2108 | 2016-06-06 |
| 1003016429 | Sally Hua | Dentist | 5 Federal St, Weymouth, MA 02188-2108 | 2007-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437784378 | Braintree Dentistry and Braces PC | Dentist | 292 Grove St, Braintree, MA 02184-7209 | 2020-03-11 |
| 1326672791 | Azza Ahmed | Dentist | 635 Albany St. G-744, Boston, MA 02118 | 2020-02-25 |
| 1215575311 | Martha Forero | Dentist | 1 Kneeland St Fl 15, Boston, MA 02111-1527 | 2019-12-19 |
| 1215574694 | Nistar Pediatric Dentistry Pllc | Dentist | 76 Merrimack St Ste 8a, Haverhill, MA 01830-6246 | 2019-12-05 |
| 1952968729 | Hampshire Meadow Family & Pediatric Dentistry | Dentist | 207 Russell St Apt 18, Hadley, MA 01035-5907 | 2019-05-28 |
| 1801352661 | Lavoie Pediatric Dentistry | Dentist | 2200 Gar Hwy Ste 2, Swansea, MA 02777-3935 | 2019-02-18 |
| 1790254845 | Somerville Pediatric Dentistry and Orthodontics | Dentist | 51 Cross St, Somerville, MA 02145-3244 | 2018-11-19 |
| 1730660903 | Matthew Brian Harper | Dentist | 300 Longwood Ave Fl 4, Boston, MA 02115-5724 | 2018-08-27 |
| 1891286316 | Azadeh Sajjadi | Dentist | 29 Angela Ln, Watertown, MA 02472-1734 | 2018-05-21 |
| 1841789468 | Tiffany Juliana Lewis | Dentist | 413 Broadway Ste B, Methuen, MA 01844-2062 | 2018-05-09 |
| 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.