CITY DENTAL LLC (NPI# 1467721969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467721969 |
| Entity Type | Organization |
| Organization Name | CITY DENTAL LLC |
| Practice Address |
439 Broadway Everett MA 02149-3612 |
| Practice Telephone | 6179449627 |
| Practice Fax Number | 6179449742 |
| Mailing Telephone | 6179449627 |
| Mailing Fax Number | 6179449742 |
| Enumeration Date | 2011-12-29 |
| Last Update Date | 2011-12-29 |
| Authorized Official Name | CIELITO DE AYALA (OFFICE MANAGER) |
| Authorized Official Telephone | 4019425051 |
| Is Organization Subpart | Y |
| Parent Organization Name | CITY DENTAL LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DN8735 | MA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 1548321235 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972072908 | City Dental LLC | Clinic/Center | 1100 Washington Ave 2nd Floor, Philadelphia, PA 19147 | 2018-11-20 |
| Street Address |
439 BROADWAY |
| City | EVERETT |
| State | MA |
| Zip Code | 02149-3612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013483254 | Global Dental P.c | Clinic/Center | 439 Broadway, Everett, MA 02149-3612 | 2018-10-15 |
| 1932650983 | Junsoo Kwon | Dentist | 439 Broadway, Everett, MA 02149-3612 | 2016-10-14 |
| 1346618899 | Sean Michael Langton | Dentist | 439 Broadway, Everett, MA 02149-3612 | 2015-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336550 | Berthonya Joas | Physical Therapy Assistant | 62 Lawrence St, Everett, MA 02149 | 2020-11-03 |
| 1053940031 | Sarah Ann Bottiglio | Pharmacist | Whidden Hospital, 103 Garland Street, Everett, MA 02149 | 2020-04-02 |
| 1417494139 | Tsering Dolkar | Registered Nurse | Department of Surgery 103 Garland Street, Everett Hospital, Everett, MA 02149 | 2017-01-20 |
| 1073060190 | Egenie Desir | Registered Nurse | 102 Edith St, Everett, MA 02149 | 2016-09-07 |
| 1295113215 | Tracy Guan | Speech-Language Pathologist | 213 Springvale Ave, Everett, MA 02149 | 2015-05-11 |
| 1386075562 | Maritza Andrea Romano | Licensed Practical Nurse | 77 Clark Street, Everett, MA 02149 | 2013-12-12 |
| 1619221454 | Nicole Marie Shanahan | Social Worker | 23 Union Street, Apartment 2, Everett, MA 02149 | 2012-11-01 |
| 1760764997 | Ashish Agarwal | Pharmacist | 317 Ferry Street, Everett, MA 02149 | 2011-09-14 |
| 1851684856 | Jocelyn Ronda | Internal Medicine | Mgh Everett Family Care, 19 Norwood St, Everett, MA 02149 | 2011-05-24 |
| 1720292204 | Geraldine Chandra Martin | Optometrist | 2 Mystic View Road, Everett, MA 02149 | 2007-05-10 |
| Find all providers in zip 02149 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457969669 | Manvir Kaur | Dentist | 3425 96th Pl Se, Everett, WA 98208-4321 | 2020-07-14 |
| 1700427978 | Ali Ahmed Al-rubaye | Dentist | 285 Main St # 5719, Everett, MA 02149-5719 | 2019-09-30 |
| 1841831096 | Jimmy Samuel Alburquerque | Dentist | 459 Broadway Ste 1, Everett, MA 02149-3614 | 2019-09-30 |
| 1649830761 | Francini Heidemann | Dentist | 39 Parlin St Apt 203, Everett, MA 02149-1944 | 2019-06-20 |
| 1205316361 | Nam Duc-hai Nguyen | Dentist | 1510 Se Everett Mall Way Ste C, Everett, WA 98208-2863 | 2018-08-17 |
| 1750885471 | Washington Dental Corporation, PC | Dentist | 1519 132nd St Se Ste G, Everett, WA 98208-7203 | 2018-03-19 |
| 1366966376 | Washington Dental Corporation, PC | Dentist | 1031 Se Everett Mall Way Ste 101, Everett, WA 98208-2833 | 2017-08-01 |
| 1922548684 | Winston Lo | Dentist | 111 Se Everett Mall Way # B-100, Everett, WA 98208-3208 | 2017-02-28 |
| 1649725748 | Perfect Smiles Dentistry Pllc | Dentist | 1510 Se Everett Mall Way, Suite C, Everett, WA 98208-2863 | 2016-08-18 |
| 1316319015 | Alireza Barekatein | Dentist | 1823 1/2 State St, Everett, WA 98201-2166 | 2015-10-21 |
| Find all providers in EVERETT | ||||
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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.