SIMPLY ORTHODONTICS & PEDIATRICS OF RANDOLPH PLLC


Address: 15 Warren St, Randolph, MA 02368-4015
Phone: 7817677200

SIMPLY ORTHODONTICS & PEDIATRICS OF RANDOLPH PLLC (NPI# 1952945685) 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) 1952945685
Entity Type Organization
Organization Name SIMPLY ORTHODONTICS & PEDIATRICS OF RANDOLPH PLLC
Practice Address 15 Warren St
Randolph
MA 02368-4015
Mailing Address 87 Elm St
Hopkinton
MA 01748-1638
Practice Telephone 7817677200
Mailing Telephone 5086867220
Enumeration Date 2019-11-06
Last Update Date 2020-08-07
Authorized Official Name DR. HOUSSAM ALKHOURY (OWNER)
Authorized Official Telephone 5085898270
Authorized Official Credential DMD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 1223P0221X Dentist
Specialization: Pediatric Dentistry
Dental Providers
N 122300000X Dentist Dental Providers
Y 1223X0400X Dentist
Specialization: Orthodontics and Dentofacial Orthopedics
Dental Providers

Office Location

Street Address 15 WARREN ST
City RANDOLPH
State MA
Zip Code 02368-4015

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356698443 Randolph Dental Group LLC Dentist 15 Warren St, Randolph, MA 02368-4015 2012-08-08
1972831428 Comfort Dental Care Clinic/Center 15 Warren St, Randolph, MA 02368-4015 2009-11-20
1669593679 Christina Riley Dental Hygienist 15 Warren St, Randolph, MA 02368-4015 2007-04-03
1730208109 David To Dentist 15 Warren St, Randolph, MA 02368-4015 2007-03-28
1881713527 Ana Sousa Dental Hygienist 15 Warren St, Randolph, MA 02368-4015 2007-03-27
1235257981 Cynthia Mcgovern Dentist 15 Warren St, Randolph, MA 02368-4015 2007-03-27
1528187234 Jessica Brodeur Dental Hygienist 15 Warren St, Randolph, MA 02368-4015 2007-03-27
1134262082 Comfort Dental Care Dentist 15 Warren St, Randolph, MA 02368-4015 2007-02-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962016444 Kadiatou Djindji Bah Behavior Technician 75 N Main St Suite 628, Randolph, MA 02368 2020-09-02
1194334490 Madison Murphy Behavior Technician 75 North Main Street, Ma, Suite #628, Randolph, MA 02368 2020-07-23
1255995049 Daniel Joseph Bellistri Social Worker Daniel Bellistri, 70 Memorial Pkwy., Randolph, MA 02368 2019-04-26
1992291124 Ashley Lauren Davis Licensed Practical Nurse 11 Mcdonnell Drive, Randolph, MA 02368 2018-07-11
1023503943 Jean Rony Mesalon Licensed Practical Nurse 8 Reynolds Ave, Randolph, MA 02368 2018-06-22
1154829208 Tatianna Lovette Hendren Behavioral Analyst 28 Liberty Place, Apartment C, Randolph, MA 02368 2018-01-24
1841709698 Gerica Barbosa Counselor 37 Sarah St, Randolph, MA 02368 2017-09-25
1437508629 Julie A Panchamsingh-barakat Social Worker 400-, 402 N Main St, Randolph, MA 02368 2016-06-08
1497109789 Grace Dorcas Pokuah Counselor 24 Nelson Dr, #1a, Randolph, MA 02368 2016-04-22
1194185868 Heavenly Home Care Home Health 9 William Morrison Drive, Randolph, MA 02368 2016-02-24
Find all providers in zip 02368

Taxonomy Information

Taxonomy Code 1223X0400X
Grouping Dental Providers
Classification Dentist
Specialization Orthodontics and Dentofacial Orthopedics

Taxonomy Definition

That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235360520 Arch Orthodontics PC Dentist 4 Frank Leary Way, Randolph, MA 02368-4512 2009-08-04
1285836650 Bernard Ivan Barrish Dentist 447 Route 10, Suite 9, Randolph, NJ 07869 2007-06-05
1598859563 Susan Arnold Dentist 390 State Route 10, Randolph, NJ 07869-2141 2006-10-03
1740259902 Yung Lin Dentist 41 Highland Ave, Randolph, MA 02368-4509 2006-03-17

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1396352787 New Bedford Dentistry and Braces PC Dentist 81 Coggeshall St Ste B, New Bedford, MA 02746-5448 2020-09-29
1528674348 Camille Arcidi Dentist 747 Main Street, Suite 221, Concord, MA 01742 2020-09-17
1881200822 East Milton Orthodontics, PC Dentist 25 Bryant Ave, Milton, MA 02186-5429 2020-09-16
1548883465 Elizabeth Carter Stapleton Dentist Tufts School of Dental Medicine: Dept of Orthodontics, 1 Kneeland Street, Boston, MA 02111 2020-05-27
1003439449 Emily Sachs Dentist 247 Hanover St, Hanover, MA 02339-2208 2020-05-20
1891331468 University Dental of Webster Pllc Dentist 6 Slater St, Webster, MA 01570-2350 2019-11-19
1538700539 Cecilia Mercedes Deller Dentist 28 Randolph St, Weymouth, MA 02190-1506 2019-10-01
1184265258 Jade Orthodontics Dentist 30 Kneeland St, Suite 301, Boston, MA 02111 2019-09-30
1942858063 Epic Family Dentistry Pllc Dentist 315 Norwood Park S Ste 100, Norwood, MA 02062-4681 2019-09-02
1366090896 Andrew Fraser Dentist 1121 Main St Ste 1, South Weymouth, MA 02190-1567 2019-08-28
Find all providers with the same taxonomy

Competitor

Search similar providers

City RANDOLPH
Zip Code 02368

Improve Information

Please comment or provide details below to improve the information on SIMPLY ORTHODONTICS & PEDIATRICS OF RANDOLPH PLLC.

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.

Trending Searches