SCITUATE PERIODONTICS LLC (NPI# 1922315910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922315910 |
| Entity Type | Organization |
| Organization Name | SCITUATE PERIODONTICS LLC |
| Practice Address |
56 New Driftway Suite 201 Scituate MA 02066-4533 |
| Practice Telephone | 7815457800 |
| Practice Fax Number | 7815457801 |
| Mailing Telephone | 7815457800 |
| Mailing Fax Number | 7815457801 |
| Enumeration Date | 2010-09-12 |
| Last Update Date | 2010-09-12 |
| Authorized Official Name | DR. MOHAMED HASSAN (OWNER) |
| Authorized Official Telephone | 7815457800 |
| Authorized Official Credential | DMD,BDS,MS,FICD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
20988 | MA | Dental Providers |
| Street Address |
56 NEW DRIFTWAY SUITE 201 |
| 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 |
| 1760870232 | Scituate Family Dentistry, Inc | General Practice | 56 New Driftway, Suite 205, Scituate, MA 02066-4533 | 2015-01-06 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 02066 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871134833 | Supontep Teerakanok | Dentist | Henry Goldman School of Dental Medicine, 635 Albany St, Boston, MA 02118 | 2019-10-01 |
| 1437700218 | Mansour Alasiri | Dentist | 650 Albany St Ste 341, Boston, MA 02118-2518 | 2019-09-24 |
| 1508417338 | Bushra Aljahdali | Dentist | 650 Albany St Fl 3, Boston, MA 02118-2518 | 2019-09-23 |
| 1164077152 | North Shore Smiles LLC | Dentist | 293 Humphrey Str., Swampscott, MA 01907 | 2019-08-06 |
| 1790330298 | Cambridge Periodontics LLC | Dentist | 1692 Massachusetts Ave Ste 3, Cambridge, MA 02138 | 2019-08-02 |
| 1043863533 | Ricardo Lazaro Pascual | Dentist | 1 Kneeland St Dept, Boston, MA 02111-1527 | 2019-07-23 |
| 1568014827 | David B Rosen Dmd | Dentist | 57 Bedford St Ste 110, Lexington, MA 02420-4550 | 2019-07-16 |
| 1396209961 | Gabriel Boustani Dmd PC | Dentist | 822 Boylston St Ste 200, Chestnut Hill, MA 02467-2504 | 2019-01-28 |
| 1568935153 | Periodontology Associates of Concord, Pllc | Dentist | 290 Baker Ave Ste 3, Concord, MA 01742-2189 | 2019-01-07 |
| 1467925057 | Periodontology Associates of Lexington, Pllc | Dentist | 35 Bedford St Ste 20, Lexington, MA 02420-4440 | 2019-01-07 |
| 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.