DENTAL SURGEONS OF FALL RIVER, PC (NPI# 1609886720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609886720 |
| Entity Type | Organization |
| Organization Name | DENTAL SURGEONS OF FALL RIVER, PC |
| Practice Address |
180 Elsbree St Fall River MA 02720-7212 |
| Practice Telephone | 5086721069 |
| Practice Fax Number | 5086723848 |
| Mailing Telephone | 5086721069 |
| Mailing Fax Number | 5086723848 |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2015-01-26 |
| Authorized Official Name | JOHN A MARSHALL (OWNER) |
| Authorized Official Telephone | 5086721069 |
| Authorized Official Credential | D.M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0106X |
Dentist Specialization: Oral and Maxillofacial Pathology |
18730 | MA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BCBS MA | X12118 | 01 |
| MA | BCBS MA | X11833 | 01 |
| Street Address |
180 ELSBREE ST |
| City | FALL RIVER |
| State | MA |
| Zip Code | 02720-7212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356960264 | Robert Walsh | Massage Therapist | 275 High Street, 1st Floor Rear, Fall River, MA 02720 | 2020-04-10 |
| 1487147252 | Patricia Mateus Peterson | Social Worker | 1561 N Main Street, Fall River, MA 02720 | 2018-06-07 |
| 1669980371 | Jolita Perez | Home Health Aide | 92 Hanover St Apt 2, Fall River, MA 02720 | 2018-01-16 |
| 1023537305 | Rebekah Shermer Woolf | Counselor | 1082 Davol St., Fall River, MA 02720 | 2017-09-18 |
| 1467977843 | Elena Amelia Cetola | Nurse Practitioner | 38 Rock St Ste 2, Fall River, MA 02720 | 2017-08-07 |
| 1477903128 | Rebecca Anne Weller | Counselor | 1082 Davol St, Fall River, Ma 02720, Fall River, MA 02720 | 2016-06-14 |
| 1811358773 | Tiana Vidal | Counselor | 1082 N Davol St., Fallriver, MA 02720 | 2016-03-18 |
| 1477925907 | David Vega | Counselor | 1082 N Davol St, Fall River, MA 02720 | 2015-10-23 |
| 1235537473 | Desire Hendricksmoreno | Counselor | 279 North Main Street, Fall River, MA 02720 | 2014-12-19 |
| 1801294160 | Rebecca Bergeron | Counselor | 1080 Davol Street, Suite 202, Fall River, MA 02720 | 2014-12-18 |
| Find all providers in zip 02720 | ||||
| Taxonomy Code | 1223P0106X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Pathology |
| The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154331395 | John A Marshall | Dentist | 180 Elsbree Street, Fall River, MA 02720 | 2006-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861960270 | Southbridge Place Dental, P.C. | Dentist | 544 Southbridge St, Worcester, MA 01610-1716 | 2018-11-05 |
| 1851651368 | Louis M Abbey | Dentist | 25 1st St, 4th Floor, Cambridge, MA 02141-1802 | 2012-05-18 |
| 1275708455 | Devaki Sundararajan | Dentist | 100 E Newton St # G04, Oral Pathology Department, Boston, MA 02118-2308 | 2008-04-28 |
| 1538287859 | Peter Christopher Morris | Dentist | 400 Union Ave, Framingham, MA 01702-5889 | 2007-03-26 |
| 1295819217 | Mark A Lerman | Dentist | 1 Kneeland St Rm 646, Boston, MA 02111-1527 | 2006-10-25 |
| 1255441804 | Sadru P Kabani | Dentist | 100 E Newton St G-04, Bonston Univ of Dental Med, Dept of Oral & Maxillo Path, Boston, MA 02118-2308 | 2006-08-30 |
| 1902910094 | Vincent Paul Phillipino | Dentist | 16 Bramble Bush Dr, Falmouth, MA 02540-2325 | 2006-08-18 |
| 1265442321 | Mark J Milano | Dentist | 516 Hawthorn St, Suite1 Fl 1, N Dartmouth, MA 02747-3733 | 2006-08-09 |
| 1770505166 | John C Cataudella | Dentist | 80 Washington St Ste N-51, Norwell, MA 02061-1742 | 2006-07-24 |
| 1831176494 | Peter Theoharidis | Dentist | 241 Station Ave, South Yarmouth, MA 02664-1863 | 2005-12-26 |
| Find all providers with the same taxonomy | ||||
| City | FALL RIVER |
| Zip Code | 02720 |
Please comment or provide details below to improve the information on DENTAL SURGEONS OF FALL RIVER, PC.
| 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.