SCITUATE FAMILY DENTISTRY, INC (NPI# 1760870232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760870232 |
| Entity Type | Organization |
| Organization Name | SCITUATE FAMILY DENTISTRY, INC |
| Practice Address |
56 New Driftway Suite 205 Scituate MA 02066-4533 |
| Practice Telephone | 7815453703 |
| Practice Fax Number | 7815450772 |
| Mailing Telephone | 7815453703 |
| Mailing Fax Number | 7815450772 |
| Enumeration Date | 2015-01-06 |
| Last Update Date | 2015-01-06 |
| Authorized Official Name | DR. STEPHEN C HOFF (CEO) |
| Authorized Official Telephone | 7815453703 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208D00000X | General Practice | DN22290 | NY | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | DN15759 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
56 NEW DRIFTWAY SUITE 205 |
| City | SCITUATE |
| State | MA |
| Zip Code | 02066-4533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811992514 | Timothy David Genecco | Physical Therapist | 56 New Driftway, Scituate, MA 02066-4533 | 2005-06-17 |
| 1831657774 | Christina Sayers | Registered Nurse | 56 New Driftway, Scituate, MA 02066-4533 | 2019-03-11 |
| 1730619735 | Kelly Koch | Dentist | 56 New Driftway, Scituate, MA 02066-4533 | 2017-06-13 |
| 1013366160 | Adam Menard | Physical Therapist | 56 New Driftway, Scituate, MA 02066-4533 | 2016-06-09 |
| 1104290758 | Scituate Family Dental, PC | Dentist | 56 New Driftway, Suite 205, Scituate, MA 02066-4533 | 2015-11-19 |
| 1568845501 | Matthew S. Cronan | Dentist | 56 New Driftway, Scituate, MA 02066-4533 | 2015-07-08 |
| 1578980884 | Sarah Poliatti | Physical Therapist | 56 New Driftway, Suite 204, Scituate, MA 02066-4533 | 2014-03-25 |
| 1144528456 | Jessica R Wilson | Advanced Practice Midwife | 56 New Driftway, Scituate, MA 02066-4533 | 2011-03-10 |
| 1437452109 | Nathaniel Chan Dmd PC | Dentist | 56 New Driftway, Advanced Dental Arts, Scituate, MA 02066-4533 | 2010-12-17 |
| 1922315910 | Scituate Periodontics LLC | Dentist | 56 New Driftway, Suite 201, Scituate, MA 02066-4533 | 2010-09-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083872238 | Claddagh Home Care Etc Inc | Home Health Aide | 9 Gridley Bryant Rd, Scituate, MA 02066 | 2008-05-23 |
| 1982870069 | Christina K. Scott | Chiropractor | 769 Country Way, North Scituate, MA 02066 | 2008-05-07 |
| 1376724153 | Jennifer K Wilczenski | Acupuncturist | 34 Country Way, Country Way Health, Scituate, MA 02066 | 2007-11-20 |
| 1881717676 | Tracey Diane Siciliano | Registered Nurse | 39 -a Beaver Dam Rd., Scituate, MA 02066 | 2007-04-09 |
| 1609991579 | Shelly L. Dell | Counselor | 52 Old Oaken Bucket Rd., Scituate, MA 02066 | 2007-03-20 |
| 1265526792 | Catherine Carleton Washburn | Social Worker | 266 First Parish Road, Scituate, MA 02066 | 2006-10-02 |
| 1497861918 | Mary J Feeney | Dentist | 56 Driftway Rd, Suite 203, Scituate, MA 02066 | 2006-08-21 |
| 1457314395 | Keri Cloherty | Obstetrics & Gynecology | 56 The New Driftway, Scituate, MA 02066 | 2006-04-11 |
| 1598739765 | M Elyce Kearns | Psychiatry & Neurology | 4 Brook St Ste 25d, Scituate, MA 02066 | 2006-02-15 |
| 1508843806 | Magill & Gardner Physical Therapy, PC | Physical Therapist | 28 Driftway, Scituate, MA 02066 | 2005-12-28 |
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| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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| 1669950853 | Patriot Urgent Care Professionals, PC | General Practice | 154 Great Road, Bedford, MA 01730 | 2018-07-31 |
| 1518445709 | Patriot Urgent Care Professionals, PC | General Practice | 90 Middlesex Turnpike, Burlington, MA 01803 | 2018-07-31 |
| 1760960959 | Patriot Urgent Care Professionals, PC | General Practice | 1030 Main Street, Unit 2, Waltham, MA 02451 | 2018-07-31 |
| 1629588389 | Ethan Gershon | General Practice | 375 Hunnewell St, Needham, MA 02494-1340 | 2017-10-09 |
| 1841739489 | Landmark Medical of Massachusetts Pllc | General Practice | 1400 Computer Dr, Westborough, MA 01581-1760 | 2017-02-15 |
| 1881059665 | Optimal Professional Health Services PC | General Practice | 1418 Providence Hwy, Suite N, Norwood, MA 02062-4655 | 2015-12-22 |
| 1134503865 | Abdulaziz Saleh Alfadhel | General Practice | 55 Station Lndg, Apt 507, Medford, MA 02155-5007 | 2015-07-13 |
| 1508290040 | Richard Lerner | General Practice | 2 Central St, Framingham, MA 01701-4163 | 2013-09-01 |
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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.