BRAINTREE PEDIATRIC DENTAL ASSOCIATES, LLC (NPI# 1801943394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801943394 |
| Entity Type | Organization |
| Organization Name | BRAINTREE PEDIATRIC DENTAL ASSOCIATES, LLC |
| Practice Address |
400 Washington St #301 Braintree MA 02184-4729 |
| Practice Telephone | 7813564544 |
| Practice Fax Number | 7813565375 |
| Mailing Telephone | 7813564544 |
| Mailing Fax Number | 7813565375 |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. CHARLENE PIRNER (CO-OWNER) |
| Authorized Official Telephone | 7813564544 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
18729 | MA | Dental Providers |
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
18843 | MA | Dental Providers |
| Street Address |
400 WASHINGTON ST #301 |
| City | BRAINTREE |
| State | MA |
| Zip Code | 02184-4729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164425476 | Albert R Kalter | Chiropractor | 400 Washington St, Ste 102, Braintree, MA 02184-4764 | 2005-05-31 |
| 1952902173 | Briana Catherine Hart | Counselor | 400 Washington St, Braintree, MA 02184-4729 | 2020-11-04 |
| 1689287104 | Kathleen Benitez Rivera | Counselor | 400 Washington St, Braintree, MA 02184-4729 | 2020-08-25 |
| 1245840859 | Felicia Medeiros | Counselor | 400 Washington St, Braintree, MA 02184-4729 | 2020-08-07 |
| 1225653116 | Gregory Charles Zeltt | Counselor | 400 Washington St, Braintree, MA 02184-4729 | 2020-06-16 |
| 1619515244 | Morgan Lynn Defeo | Social Worker | 400 Washington St, Braintree, MA 02184-4729 | 2019-12-13 |
| 1043869480 | Isson Joseph | Counselor | 400 Washington St, Braintree, MA 02184-4729 | 2019-09-09 |
| 1447743414 | Leatha Bennett | Counselor | 400 Washington St, Braintree, MA 02184-4729 | 2018-06-13 |
| 1902396427 | John Joseph Antosz | Counselor | 400 Washington St, Braintree, MA 02184-4729 | 2018-05-10 |
| 1447747985 | Daniel Paul Lee | Counselor | 400 Washington St, Braintree, MA 02184-4729 | 2018-04-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342234 | Albert Jusu | Counselor | Arbour Counseling Services, 400 Washington Street, Braintree, MA 02184 | 2020-10-05 |
| 1356952378 | Samantha Taylor O'malley | Student in an Organized Health Care Education/Training Program | 639 Granite Street, N/a, Brainetree, MA 02184 | 2020-08-13 |
| 1184104499 | Andrea Boudreau | Social Worker | Coastal Dcf, 220 R Forbes Road, Braintree, MA 02184 | 2018-08-16 |
| 1144747221 | Mina Schafft Dmd Pllc | Dentist | 321 Washington Street, Unit 101, Westwood, MA 02184 | 2017-08-29 |
| 1922520592 | Samson Michel | Counselor | 400 Washington St. Suite 106, Braintree, MA 02184 | 2017-07-14 |
| 1760912653 | Shannon R Harvey | Behavioral Analyst | 501 Commerce Dr 4207, Braintree, MA 02184 | 2017-06-14 |
| 1275074429 | Colleen Dalton | Behavioral Analyst | 32 Powder Hill Dr, Braintree, MA 02184 | 2017-03-20 |
| 1295273266 | Jessica Morris | Occupational Therapist | 16 Kensington Street, Braintree, MA 02184 | 2017-02-09 |
| 1568834562 | Lisa Morrill | Counselor | 400 Washington St Ste 106, Braintree, MA 02184 | 2015-10-29 |
| 1831560382 | Dr Dental of Braintree PC | Dentist | 284 Grove St, Braintree, MA 02184 | 2015-10-09 |
| Find all providers in zip 02184 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437784378 | Braintree Dentistry and Braces PC | Dentist | 292 Grove St, Braintree, MA 02184-7209 | 2020-03-11 |
| 1184002180 | Jack and Jill Pediatric Dentistry, LLC | Dentist | 340 Wood Rd, Suite 288, Braintree, MA 02184-2401 | 2015-05-11 |
| 1629047139 | Raymond Widican | Dentist | 111 Grossman Dr, Braintree, MA 02184-4997 | 2006-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1790254845 | Somerville Pediatric Dentistry and Orthodontics | Dentist | 51 Cross St, Somerville, MA 02145-3244 | 2018-11-19 |
| 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 |
| 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.