TRUSTEES OF TUFTS UNIVERSITY (NPI# 1467755702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467755702 |
| Entity Type | Organization |
| Organization Name | TRUSTEES OF TUFTS UNIVERSITY |
| Other Organization Name | TUFTS DENTAL FACILITY GROTON |
| Practice Address |
22 Hillside Ave Groton MA 01450 |
| Practice Telephone | 9784483388 |
| Mailing Telephone | 9784483388 |
| Enumeration Date | 2010-12-08 |
| Last Update Date | 2010-12-08 |
| Authorized Official Name | DR. DARREN J DRAG (DIRECTOR OF CLINICAL OPERATIONS) |
| Authorized Official Telephone | 7818996020 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
20040 | MA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| TUFTS DENTAL FACILITY GROTON | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508169830 | Trustees of Tufts University | Clinic/Center | 212 Freight Shed Road, Baldwinville, MA 01436 | 2010-12-08 |
| 1740405356 | Trustees of Tufts University | Clinic/Center | 450 Maple St, Hathorne, MA 01937 | 2007-04-17 |
| 1508206012 | Trustees of Tufts University | Clinic/Center | 1275 Elm St, West Springfield, MA 01089-1820 | 2013-06-28 |
| 1144514027 | Trustees of Tufts University | Clinic/Center | 3 Randolph St, Bradford Building, 2nd Floor, Canton, MA 02021-2351 | 2011-06-08 |
| 1720381064 | Trustees of Tufts University | Clinic/Center | 1 Kneeland Street, 3rd Floor, Boston, MA 02111 | 2010-12-08 |
| 1760608608 | Trustees of Tufts University | Clinic/Center | 175 State Ave, Palmer, MA 01069-1843 | 2007-04-18 |
| 1871719104 | Trustees of Tufts University | Clinic/Center | 200 Trapelo Rd, Waltham, MA 02452-6332 | 2007-04-17 |
| 1295959849 | Trustees of Tufts University | Clinic/Center | 200 Trapelo Rd, Waltham, MA 02452-6332 | 2007-04-13 |
| 1104040757 | Trustees of Tufts University | Clinic/Center | 81 Hope Ave, Worcester, MA 01603-2212 | 2007-04-13 |
| 1679797211 | Trustees of Tufts University | Clinic/Center | 2007 Bay St, Taunton, MA 02780-1086 | 2007-04-13 |
| Street Address |
22 HILLSIDE AVE |
| City | GROTON |
| State | MA |
| Zip Code | 01450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942286158 | Seven Hills Extended Care At Groton, Inc. | Skilled Nursing Facility | 22 Hillside Ave, Groton, MA 01450-1284 | 2005-12-20 |
| 1407241201 | Melody Nguyen | Nurse Practitioner | 22 Hillside Ave, Groton, MA 01450-1284 | 2015-03-30 |
| 1679794820 | Amy Conrey Stevens | Nurse Practitioner | 22 Hillside Ave, Groton, MA 01450 | 2007-05-02 |
| 1669692661 | Shan Marie Stoffolano | Nurse Practitioner | 22 Hillside Ave, Groton, MA 01450-1284 | 2007-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184149577 | Anthony Delmonte | Occupational Therapist | 108 Riverbend Dr, Groton, MA 01450 | 2017-08-07 |
| 1235368242 | Hilde Hamar Westvik | Internal Medicine | 1 Forge Village Road, Ste C, Groton, MA 01450 | 2009-07-11 |
| 1275796351 | Groton Medical Wellness Spa LLC | Acupuncturist | 493 Main Street, Groton, MA 01450 | 2008-07-08 |
| 1629231709 | Groton Dental Wellness Center | Dental Hygienist | 495 Main Street, Groton, MA 01450 | 2008-07-08 |
| 1174793731 | Jane Shustin | Social Worker | 493 A Main St, Mill Run Plaza, Groton, MA 01450 | 2008-03-10 |
| 1609085083 | Nancy Douglas Foster | Nurse Practitioner | 282 Farmers Row, Groton, MA 01450 | 2007-05-22 |
| 1689716813 | John P. Katzenberg | Internal Medicine | 292 Main St., Groton, MA 01450 | 2007-02-13 |
| 1801942768 | Palm Lorraine Riposa | Registered Nurse | 144 Clinics One, Boston, MA 01450 | 2007-01-25 |
| 1316001233 | Mark Lane Randall | Dentist | 16a Hollis St., Groton, MA 01450 | 2006-12-22 |
| 1346359957 | John P Scollard | Social Worker | 145 Lowell Road, Groton, MA 01450 | 2006-08-29 |
| Find all providers in zip 01450 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295333573 | Brian P. Ganley, Dmd, PC | Clinic/Center | 134 Main St Unit 1c, Groton, MA 01450-1375 | 2020-10-09 |
| 1407464928 | Valli Dental Corporation | Clinic/Center | 292 Main St, Groton, MA 01450-1236 | 2020-07-21 |
| 1306276969 | Groton Wellness Family Dentistry,llc | Clinic/Center | 495 Main St, Groton, MA 01450-4253 | 2013-11-19 |
| 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 |
| 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 |
| 1265043632 | Smile Studio Pllc | Clinic/Center | 1428 Dorchester Ave # 1, Dorchester, MA 02122-2922 | 2020-08-11 |
| 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.