FITCHBURG SMILES, PLLC (NPI# 1477046704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477046704 |
Entity Type | Organization |
Organization Name | FITCHBURG SMILES, PLLC |
Practice Address |
134 Summer St Fitchburg MA 01420-5869 |
Practice Telephone | 7742898411 |
Mailing Telephone | 7742898411 |
Enumeration Date | 2018-06-12 |
Last Update Date | 2018-06-12 |
Authorized Official Name | DR. MAGED EL- MALECKI (MANAGER) |
Authorized Official Telephone | 6179490199 |
Authorized Official Credential | DMD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QD0000X |
Clinic/Center Specialization: Dental |
DN20758 | MA | Ambulatory Health Care Facilities |
Street Address |
134 SUMMER ST |
City | FITCHBURG |
State | MA |
Zip Code | 01420-5869 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871644393 | John Seaborn Sampson IIi | Dentist | 134 Summer St, Fitchburg, MA 01420-5869 | 2007-01-12 |
1699069153 | Fitchburg Dental PC | Dentist | 134 Summer St, Fitchburg, MA 01420-5869 | 2011-06-01 |
1770755704 | Maged A. El-malecki | Dentist | 134 Summer St, Fitchburg, MA 01420-5869 | 2008-03-31 |
1881878015 | Paul Kang | Dentist | 134 Summer St, Fitchburg, MA 01420-5869 | 2007-12-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063039121 | Maria A Neizvestnaya | Student in an Organized Health Care Education/Training Program | Primary Care Behavioral Health, Fitchburg Family Medicine, Fitchburg, MA 01420 | 2020-07-06 |
1780177014 | Chenell B Morris | Developmental Therapist | 161 Summer St, Fitchburg, MA 01420 | 2018-06-12 |
1831699578 | Karen Kazanjian-silvia | Social Worker | 275 Nichols Rd., Healthalliance Hospital Cancer Center, Fitchburg, MA 01420 | 2018-02-20 |
1932615499 | Simply Orthodontics and Pediatrics Fitchburg Pllc | Dentist | 50 Whalon St Ste 1, Fitchburg, MA 01420 | 2017-12-20 |
1811410517 | Roger Nichele | Dentist | 326 Nichols St, Fitchburg, MA 01420 | 2017-07-25 |
1659893220 | Fresh Start Home Care LLC | Home Health | 293 Arnhow Farm Road, Fitchburg, MA 01420 | 2017-07-14 |
1154864668 | Kimatra Maxwell | Social Worker | 344 Main St Ste 9, Fitchburg, MA 01420 | 2016-12-01 |
1740635283 | Henry Ntoro Sr. | Nurse Practitioner | 33 Electric Ave B3, Fitchburg, MA 01420 | 2016-05-03 |
1740643345 | Mary Wooten | Counselor | 143 Highland Ave Apt 1, Fitchburg, MA 01420 | 2016-03-31 |
1013393206 | Brooke Chamberland, Licsw | Social Worker | 982b South St, Fitchburg, MA 01420 | 2015-08-11 |
Find all providers in zip 01420 |
Taxonomy Code | 261QD0000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Dental |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578173985 | Bright Dental and Braces LLC | Clinic/Center | 3046 Fish Hatchery Rd, Fitchburg, WI 53713-3125 | 2020-08-01 |
1386242758 | Super Dental of Fitchburg Pllc | Clinic/Center | 130 Water St, Fitchburg, MA 01420-5478 | 2020-10-16 |
1780043745 | D. H. Dental PC | Clinic/Center | 881 South St, Fitchburg, MA 01420-6252 | 2016-02-18 |
1295113454 | Doshi Dmd PC | Clinic/Center | 130 Water St, Fitchburg, MA 01420-5478 | 2015-05-08 |
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 |
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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.