SOMERVILLE PEDIATRIC DENTISTRY AND ORTHODONTICS


Address: 51 Cross St, Somerville, MA 02145-3244
Phone: 6176423139

SOMERVILLE PEDIATRIC DENTISTRY AND ORTHODONTICS (NPI# 1790254845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790254845
Entity Type Organization
Organization Name SOMERVILLE PEDIATRIC DENTISTRY AND ORTHODONTICS
Practice Address 51 Cross St
Somerville
MA 02145-3244
Practice Telephone 6176423139
Enumeration Date 2018-11-19
Last Update Date 2018-11-19
Authorized Official Name DR. MOONYOUNG LEE (PRESIDENT)
Authorized Official Telephone 6176423139
Authorized Official Credential DMD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0221X Dentist
Specialization: Pediatric Dentistry
Dental Providers

Office Location

Street Address 51 CROSS ST
City SOMERVILLE
State MA
Zip Code 02145-3244

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497230684 Marisa Katherine Glynn Psychologist 35 Edgar Avenue, Somerville, MA 02145 2018-10-03
1811478274 Rolanda Santos Prophete Counselor 18 Sargent Ave, Somerville, MA 02145 2018-08-23
1619465101 Shannon Comer Registered Nurse 64 Sycamore St Apartment 1, Somerville, MA 02145 2018-04-30
1184121261 Deborah Camara Social Worker 89 Cross Street, Apt 1, Somerville, MA 02145 2018-04-06
1073047569 Nicole Patzelt Dermatology 192a School St Apt 2, Somerville, MA 02145 2017-04-12
1316327018 Christina Gasbarro Family Medicine Cha Assembly Square Care Center, 5 Middlesex Avenue, Somerville, MA 02145 2015-06-08
1902236359 Prativa Bhatta Counselor 76 Cross St, Somerville, MA 02145 2013-11-21
1427497015 Veronica Wu Physician Assistant 60 Clyde Street, #5, Somerville, MA 02145 2013-06-18
1790045797 Cambridge Health Alliance Rehabilitation Unit 2 Middlesex Avenue, Somerville, MA 02145 2012-05-23
1871809665 Lauren Holland Occupational Therapist 5 Middlesex Avenue, Somerville, MA 02145 2010-08-31
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Taxonomy Information

Taxonomy Code 1223P0221X
Grouping Dental Providers
Classification Dentist
Specialization Pediatric Dentistry

Taxonomy Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1952838641 Helen Stamatouras Dentist 133 Heath St, Somerville, MA 02145-1400 2017-05-12
1265684294 Julianne M Kane Dentist 148 West End Ave, Somerville, NJ 08876 2008-10-22
1952696445 Yang Han Kao Dentist 396 Highland Ave, Somerville, MA 02144-2512 2011-06-13
1568587269 Patricia Castillo Dentist 341 Summer St, Somerville, MA 02144 2007-03-20
1457454035 Lina A Al-aswad Dentist 1133 Broadway, Somerville, MA 02144 2006-09-07
1699796193 Robert B Martin, Dmd, Msd, Pa Dentist 2 Park Ave, Somerville, NJ 08876-2318 2006-07-21

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1437784378 Braintree Dentistry and Braces PC Dentist 292 Grove St, Braintree, MA 02184-7209 2020-03-11
1326672791 Azza Ahmed Dentist 635 Albany St. G-744, Boston, MA 02118 2020-02-25
1215575311 Martha Forero Dentist 1 Kneeland St Fl 15, Boston, MA 02111-1527 2019-12-19
1215574694 Nistar Pediatric Dentistry Pllc Dentist 76 Merrimack St Ste 8a, Haverhill, MA 01830-6246 2019-12-05
1952968729 Hampshire Meadow Family & Pediatric Dentistry Dentist 207 Russell St Apt 18, Hadley, MA 01035-5907 2019-05-28
1801352661 Lavoie Pediatric Dentistry Dentist 2200 Gar Hwy Ste 2, Swansea, MA 02777-3935 2019-02-18
1730660903 Matthew Brian Harper Dentist 300 Longwood Ave Fl 4, Boston, MA 02115-5724 2018-08-27
1891286316 Azadeh Sajjadi Dentist 29 Angela Ln, Watertown, MA 02472-1734 2018-05-21
1841789468 Tiffany Juliana Lewis Dentist 413 Broadway Ste B, Methuen, MA 01844-2062 2018-05-09
1700387453 Dorchester Pediatric Dentistry and Orthodontics, PC Dentist 1192 Blue Hill Ave Unit 1192, Boston, MA 02126-1819 2018-02-27
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Competitor

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City SOMERVILLE
Zip Code 02145

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Dataset Information

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.

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