MELROSE FAMILY DENTAL PC (NPI# 1942751953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942751953 |
| Entity Type | Organization |
| Organization Name | MELROSE FAMILY DENTAL PC |
| Practice Address |
12 Porter St Melrose MA 02176-2810 |
| Practice Telephone | 7816651552 |
| Mailing Telephone | 7816651552 |
| Enumeration Date | 2016-10-14 |
| Last Update Date | 2016-10-14 |
| Authorized Official Name | DR. ALAAEDDIN ALWAZZAN (OWNER) |
| Authorized Official Telephone | 6176699839 |
| Authorized Official Credential | DMD, FACP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | DN1855140 | MA | Dental Providers |
| N | 122300000X | Dentist | DN13354 | MA | Dental Providers |
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
DN22162 | MA | Dental Providers |
| Street Address |
12 PORTER ST |
| City | MELROSE |
| State | MA |
| Zip Code | 02176-2810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750326963 | Paul Anthony Torraca | Dentist | 12 Porter St, Melrose, MA 02176-2810 | 2006-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699384826 | Edrine Astremont | Registered Nurse | 414 Malden, Massachusetts, NY 02176 | 2020-07-23 |
| 1194203919 | Caroline Bregman | Social Worker | 12 Howard St, Melrose, MA 02176 | 2018-08-02 |
| 1386167682 | Carmen Alicia Fernandez | Community/Behavioral Health | 24 Lynde St, Melrose, MA 02176 | 2017-07-19 |
| 1518316116 | Sheila Kelley | Physical Therapist | 15 Green Street, Melrose, MA 02176 | 2016-06-06 |
| 1083049712 | Randi A Brown | Counselor | 610 A Main Street, Melrose, MA 02176 | 2013-09-12 |
| 1306121488 | Frank Anthony Pennacchio | Pharmacist | 17 Coolidge Road, Melrose, MA 02176 | 2011-10-20 |
| 1245401751 | Meaghan Rudolph | Registered Nurse | 11 Stratford Rd, Melrose, MA 02176 | 2008-03-13 |
| 1104039726 | Judy E Bushee | Custodial Care Facility | The Toole Nursing Home, 92 Franklin Street, Melrose, MA 02176 | 2007-05-08 |
| 1811012776 | Mark Joseph Gianatassio | Dentist | 820 Lynn Fells, Melrose, MA 02176 | 2007-03-20 |
| 1154452993 | City of Melrose | Local Education Agency (LEA) | 360 Lynn Fells Parkway, Melrose, MA 02176 | 2007-03-07 |
| Find all providers in zip 02176 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447851035 | North Andover Dental Partners Pllc | Dentist | 451 Andover St Ste 208, North Andover, MA 01845-5070 | 2020-11-02 |
| 1699329797 | Jeffrey A. Harrison, Dmd, PC | Dentist | 258 Washington Street, Wellesley, MA 02481 | 2019-07-26 |
| 1104380526 | Sfrnsh LLC | Dentist | 209 Harvard St Ste 302, Brookline, MA 02446-5005 | 2019-01-30 |
| 1619446713 | Lexington Implant and Restorative Dentistry | Dentist | 803 Massachusetts Ave, Lexington, MA 02420-3918 | 2018-11-19 |
| 1154818359 | Lexington Smile Studio, PC | Dentist | 922 Waltham St Ste 202, Lexington, MA 02421-8019 | 2018-04-13 |
| 1184140139 | Georgetown Dental, P.C. | Dentist | 25 E Main St Ste 3, Georgetown, MA 01833-2007 | 2017-08-21 |
| 1922522747 | Prosthodontic Associates PC | Dentist | 50 Salem St., 3rd Floor, Lynnfield, MA 01940 | 2017-08-02 |
| 1952852063 | Thaisa Barizan Bordin | Dentist | 100 Morton St Apt 50, Boston, MA 02130-3754 | 2016-10-24 |
| 1326419524 | Brookline Dental Associates LLC | Dentist | 209 Harvard St Ste 502, Brookline, MA 02446-5005 | 2015-10-14 |
| 1316318686 | Outer Cape Dental Group, LLC | Dentist | 10 Cannon Hill Rd, South Wellfleet, MA 02663 | 2015-10-13 |
| 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.