OPERATION HEALTHY SMILE INC (NPI# 1497863237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497863237 |
| Entity Type | Organization |
| Organization Name | OPERATION HEALTHY SMILE INC |
| Other Organization Name | HEALTHY SMILES DENTAL CENTER |
| Practice Address |
169 Pleasant St Suite 204 Marlborough MA 01752 |
| Practice Telephone | 5082293131 |
| Mailing Telephone | 5082293131 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JOSEPH C PORAS (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 5082293131 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 4ZUU | MA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 0208566 | 05 |
| Other Name | Type Code |
|---|---|
| Healthy Smiles Dental Center | Doing Business As Name - Organization |
| Street Address |
169 PLEASANT ST SUITE 204 |
| City | MARLBOROUGH |
| State | MA |
| Zip Code | 01752 |
| 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 | 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 |
|---|---|---|---|---|
| 1285143560 | Julian Basha | Dentist | 661 Boston Post Rd E, Marlborough, MA 01752-3732 | 2017-09-29 |
| 1669819025 | Rusell Giordano II | Dentist | 172 Robert Rd, Marlborough, MA 01752-6528 | 2013-05-25 |
| 1831369511 | Sarat Chandra Ummethala | Dentist | 19 Maple St Ste E, Marlborough, MA 01752-2904 | 2008-03-10 |
| 1942405667 | Todd W Reeves | Dentist | 120 Union St, Marlborough, MA 01752-1247 | 2007-06-21 |
| 1952456196 | Mojgan Rahimi | Dentist | 530 Boston Post Rd E, Marlborough, MA 01752-3645 | 2007-01-25 |
| 1518564822 | Lilit Balayan | Dentist | 116 Main St, Marlborough, MA 01752-3811 | 2020-10-08 |
| 1083199129 | Jinal Vora | Dentist | 222 E Main St, Marlborough, MA 01752-2690 | 2018-09-25 |
| 1063861623 | Brandon A Ladeau | Dentist | 11 Florence St, Marlborough, MA 01752-2822 | 2016-06-05 |
| 1376901991 | Union Dental Marlborough LLC | Dentist | 126 Union Street, First Floor, Marlborough, MA 01752 | 2016-02-10 |
| 1174921027 | Andrea Harrison | Dentist | 116 Main St Ste 1, Marlborough, MA 01752-3811 | 2014-12-09 |
| Find all providers in MARLBOROUGH | ||||
| 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.