NEWTON WELLESLEY DENTAL GROUP LLC (NPI# 1619583168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619583168 |
| Entity Type | Organization |
| Organization Name | NEWTON WELLESLEY DENTAL GROUP LLC |
| Practice Address |
447 Centre Street Same Newton MA 02458 |
| Practice Telephone | 6172444133 |
| Mailing Telephone | 6172444133 |
| Enumeration Date | 2020-09-21 |
| Last Update Date | 2020-09-21 |
| Authorized Official Name | LORRAINE E MATHEUS (CREDITING SPECIALIST) |
| Authorized Official Telephone | 7815670457 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Street Address |
447 CENTRE STREET SAME |
| City | NEWTON |
| State | MA |
| Zip Code | 02458 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699372136 | Marie Beh Buckhout | Chiropractor | 517 Washington Street, Newton, MA 02458 | 2020-10-07 |
| 1083179220 | Leslie Gary Brody | Social Worker | 35 Buswell Park, Newton, MA 02458 | 2019-02-01 |
| 1114499043 | Anne Irene Vermeulen | Health Educator | 55 Chapel Street, Suite 300, Newton, MA 02458 | 2018-12-17 |
| 1669957023 | Marla Rutenberg | Social Worker | 4 Cotton Street, Newton, MA 02458 | 2018-10-01 |
| 1104339787 | Stephanie Chancey | Counselor | 425 Watertown Street, The Academy, Newton, MA 02458 | 2017-11-06 |
| 1356886485 | Elizabeth Woodruff | Social Worker | 77 Warren St. Building #9, Brighton, MA 02458 | 2016-12-28 |
| 1346618519 | Jessica Farnsworth Kruss | Counselor | 425 Rear Watertown St., Newton, MA 02458 | 2015-09-04 |
| 1043631591 | Judith Sheolie Fernando | Psychiatry & Neurology | 313 Washington Street Newton, Newton, MA 02458 | 2014-01-01 |
| 1861830887 | Allison L. Phillips | Social Worker | 64 Eldredge St., Newton, MA 02458 | 2013-06-12 |
| 1912247164 | Kerry Agnes Cownie | Speech-Language Pathologist | 74 Bride Street, Newton, MA 02458 | 2013-02-26 |
| Find all providers in zip 02458 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407491558 | Newton Dental, Pllc | Clinic/Center | 345 Boylston St Ste 101, Newton, MA 02459-2863 | 2019-11-13 |
| 1457837247 | William A. Setzer, Dmd, Pllc | Clinic/Center | 430 W 20th St Ste 4, Newton, NC 28658-3732 | 2018-07-14 |
| 1235150335 | Jack Legon Dmd Pa | Clinic/Center | 40 Park Pl, Newton, NJ 07860-1747 | 2006-07-22 |
| 1295373827 | David B Gaddis Dds Pa | Clinic/Center | 14 N Ashe Ave, Newton, NC 28658-3229 | 2019-12-13 |
| 1245882604 | 42 North Dental Care, LLC | Clinic/Center | 188 Needham St, Newton, MA 02464-1596 | 2019-07-15 |
| 1518521897 | Smolyar Dental LLC | Clinic/Center | 71 Needham St, Newton, MA 02461-1663 | 2019-04-23 |
| 1386101863 | T D Filandrianos and Associates LLC | Clinic/Center | 1400 Centre St Ste 101, Newton, MA 02459-2415 | 2019-02-21 |
| 1982171849 | Regis College | Clinic/Center | 777 Dedham St, Newton, MA 02459-3323 | 2018-10-30 |
| 1225303811 | Newton Corner Dental Care | Clinic/Center | 313 Washington St, Suite 100, Newton, MA 02458-1626 | 2012-03-14 |
| 1396033932 | Yoon H. Kang, Dmd, Phd, LLC | Clinic/Center | 93 Union St, Suite 404, Newton, MA 02459-2244 | 2011-07-18 |
| Find all providers in NEWTON | ||||
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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.