DR. MICKEY'S ORTHODONTICS, L.L.C. (NPI# 1720320377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720320377 |
| Entity Type | Organization |
| Organization Name | DR. MICKEY'S ORTHODONTICS, L.L.C. |
| Practice Address |
92 Montvale Ave Suite 4300 Stoneham MA 02180-3647 |
| Practice Telephone | 7812792400 |
| Mailing Telephone | 7812792400 |
| Enumeration Date | 2013-03-21 |
| Last Update Date | 2013-03-21 |
| Authorized Official Name | DR. EUGENE A MICKEY (PRESIDENT/OWNER) |
| Authorized Official Telephone | 7812792400 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | Y |
| Parent Organization Name | EUGENE A MICKEY, DMD, MPH, PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
DN20656 | MA | Dental Providers |
| Street Address |
92 MONTVALE AVE SUITE 4300 |
| City | STONEHAM |
| State | MA |
| Zip Code | 02180-3647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215921309 | Denis P Byrne | Specialist | 92 Montvale Ave, Suite 1400, Stoneham, MA 02180-3647 | 2005-09-06 |
| 1619419199 | Caitlin Leary | Physical Therapist | 92 Montvale Ave, Stoneham, MA 02180 | 2016-11-15 |
| 1174072557 | Agility Wpho-thp Inc | Specialist | 92 Montvale Ave, Suite 1400, Stoneham, MA 02180-3647 | 2016-09-27 |
| 1316494230 | Lyle Edward Morgan | Physical Therapy Assistant | 92 Montvale Ave, 1100, Stoneham, MA 02180-3647 | 2016-09-08 |
| 1588051874 | Commonwealth Pediatrics, LLC | Clinic/Center | 92 Montvale Ave, Stoneham, MA 02180-3647 | 2015-04-24 |
| 1568865194 | Elizabeth Mcnichol | Dermatology | 92 Montvale Ave, Suite 3000, Stoneham, MA 02180-3647 | 2014-09-26 |
| 1710315494 | Michael Bader Md PC | Internal Medicine | 92 Montvale Ave, Suite 3700, Stoneham, MA 02180-3647 | 2013-10-16 |
| 1114269099 | Jean Wyatt Gee | Nurse Practitioner | 92 Montvale Ave, 4605, Stoneham, MA 02180-3647 | 2013-03-19 |
| 1093080830 | Kimberly B Tighe | Physician Assistant | 92 Montvale Ave, Suite 1400, Stoneham, MA 02180-3647 | 2012-03-13 |
| 1912278441 | Orthopedic Surgery Inc | Occupational Therapist | 92 Montvale Ave, Suite 1400, Stoneham, MA 02180 | 2012-01-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073092839 | Ann M Campbell | Social Worker | 490 William St, Stoneham, MA 02180 | 2018-08-12 |
| 1669997243 | Melissa Meskell, Lmhc | Clinic/Center | 38 Montvale Avenue Suite 327, Stoneham, MA 02180 | 2017-08-04 |
| 1033593306 | Melissa Zeitlin | Counselor | 178 North St, Stoneham, MA 02180 | 2015-07-16 |
| 1053708370 | Michael Stangler | Dentist | 2 Main St Ste 225, Stoneham, MA 02180 | 2015-04-24 |
| 1699086397 | Kimberly Y Chin | Acupuncturist | 105 Marble Street, Apt 7, Stoneham, MA 02180 | 2010-06-28 |
| 1538305446 | John Nyaga Njine | Registered Nurse | 5 Glen Rd, Apt 110, Stoneham, MA 02180 | 2008-12-23 |
| 1427189000 | Stoneham Public Schools | Local Education Agency (LEA) | 149 Franklin St., Stoneham, MA 02180 | 2007-03-08 |
| 1487715181 | Bernard J Augot, Jr. | Acupuncturist | Acupuncture Health Care Ctr., 370 Main Street, Stoneham, MA 02180 | 2006-12-13 |
| 1730257684 | Advantage Sports Medicine & Physical Therapy,inc. | Physical Therapist | 245 North Street, Stoneham, MA 02180 | 2006-11-30 |
| 1851465538 | Town of Stoneham | Public Health or Welfare | 35 Central Street, Stoneham, MA 02180 | 2006-11-17 |
| Find all providers in zip 02180 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710136155 | Jonathan Chase | Dentist | 61 Main St, Stoneham, MA 02180-3364 | 2008-09-10 |
| 1457421091 | Jonathan Chase Dds PC | Dentist | 61 Main St, Stoneham, MA 02180-3364 | 2006-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396352787 | New Bedford Dentistry and Braces PC | Dentist | 81 Coggeshall St Ste B, New Bedford, MA 02746-5448 | 2020-09-29 |
| 1528674348 | Camille Arcidi | Dentist | 747 Main Street, Suite 221, Concord, MA 01742 | 2020-09-17 |
| 1881200822 | East Milton Orthodontics, PC | Dentist | 25 Bryant Ave, Milton, MA 02186-5429 | 2020-09-16 |
| 1548883465 | Elizabeth Carter Stapleton | Dentist | Tufts School of Dental Medicine: Dept of Orthodontics, 1 Kneeland Street, Boston, MA 02111 | 2020-05-27 |
| 1003439449 | Emily Sachs | Dentist | 247 Hanover St, Hanover, MA 02339-2208 | 2020-05-20 |
| 1891331468 | University Dental of Webster Pllc | Dentist | 6 Slater St, Webster, MA 01570-2350 | 2019-11-19 |
| 1538700539 | Cecilia Mercedes Deller | Dentist | 28 Randolph St, Weymouth, MA 02190-1506 | 2019-10-01 |
| 1184265258 | Jade Orthodontics | Dentist | 30 Kneeland St, Suite 301, Boston, MA 02111 | 2019-09-30 |
| 1942858063 | Epic Family Dentistry Pllc | Dentist | 315 Norwood Park S Ste 100, Norwood, MA 02062-4681 | 2019-09-02 |
| 1366090896 | Andrew Fraser | Dentist | 1121 Main St Ste 1, South Weymouth, MA 02190-1567 | 2019-08-28 |
| 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.