SIMPLY ORTHODONTICS AND PEDIATRICS CLINTON, PLLC (NPI# 1093352585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093352585 |
| Entity Type | Organization |
| Organization Name | SIMPLY ORTHODONTICS AND PEDIATRICS CLINTON, PLLC |
| Practice Address |
200 High St Clinton MA 01510-2556 |
| Mailing Address |
87 Elm St Hopkinton MA 01748-1638 |
| Practice Telephone | 5085898262 |
| Mailing Telephone | 5085898262 |
| Enumeration Date | 2019-12-04 |
| Last Update Date | 2019-12-04 |
| Authorized Official Name | DR. HOUSSAM ALKHOURY (OWNER) |
| Authorized Official Telephone | 5085055040 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | Dental Providers | ||
| N | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers | ||
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers | ||
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers |
| Street Address |
200 HIGH ST |
| City | CLINTON |
| State | MA |
| Zip Code | 01510-2556 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669983383 | Tejendra Patel | Dentist | 200 High St, Clinton, MA 01510-2556 | 2017-10-20 |
| 1770954240 | Jasmine Chopra | Dentist | 200 High St, Clinton, MA 01510-2556 | 2015-10-09 |
| 1235438334 | Belinda Sobosik | Dental Hygienist | 200 High St, Clinton, MA 01510-2556 | 2011-03-15 |
| 1073824843 | Stacy Temple | Dentist | 200 High St, Edward M. Kennedy Community Health Center, Clinton, MA 01510 | 2010-06-28 |
| 1215128285 | Janet D Witt | Dental Hygienist | 200 High St, Clinton, MA 01510-2556 | 2007-08-06 |
| 1942400361 | Kiran Sanjay Naik | Dentist | 200 High St, Clinton, MA 01510 | 2007-07-24 |
| 1841345345 | Meaghan M Calkins | Dental Hygienist | 200 High St, Clinton, MA 01510-2556 | 2007-01-24 |
| 1407817620 | Neelima Ravi | Dentist | 200 High St, Clinton, MA 01510-2556 | 2006-03-29 |
| 1689635781 | John N Ducimo | Dentist | 200 High St, Clinton, MA 01510-2556 | 2006-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861880585 | Counseling & Assesment Clinic | Community/Behavioral Health | 1 Coolidge Pl Suit 712, Clinton, MA 01510 | 2015-01-05 |
| 1306274121 | Patricia Iorio | Dietitian, Registered | 602 Devenwood Way, Clinton, MA 01510 | 2013-10-15 |
| 1366715773 | Norah E Mcnally | Dietitian, Registered | 56 Beech Street, Clinton, MA 01510 | 2012-02-15 |
| 1891859708 | Param B Singh | Internal Medicine | 201 Highland Sreet, Clinton, MA 01510 | 2006-12-22 |
| 1386746865 | Maria Anna Channell | Psychologist | 221 Greeley St, Clinton, MA 01510-1029 | 2006-09-03 |
| 1871651000 | Jennifer Jane Soldano | Counselor | 221 Greeley St, Clinton, MA 01510-1029 | 2006-12-04 |
| 1215983507 | Dicie Jane Niggl | Nurse Practitioner | 201 Highland St Ste 1, Clinton Hospital, Clinton, MA 01510-1037 | 2006-05-26 |
| 1003812280 | Ronald G. Lavenda | Podiatrist | 201 Highland St, Suite C Clinton Hospital, Clinton, MA 01510-1037 | 2005-06-22 |
| 1205478708 | Laura Joan Cerundolo | Dietitian, Registered | 201 Highland St, Clinton, MA 01510-1037 | 2019-10-16 |
| 1255816682 | Michelle Serena Iorio | Nurse Practitioner | 201 Highland St, Clinton, MA 01510-1037 | 2018-10-02 |
| Find all providers in zip 01510 | ||||
| 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 |
|---|---|---|---|---|
| 1144350430 | Edmund Richard Proctor Jr. | Dentist | 12 Moebus Place, Clinton, NJ 08809-1023 | 2007-03-06 |
| 1073611620 | Joseph Chet Gatewood | Dentist | 539a Highway 80 W, Clinton, MS 39056-4193 | 2006-09-20 |
| 1306391164 | Anna Jennings Nix | Dentist | 539a Highway 80 W, Clinton, MS 39056-4193 | 2016-08-22 |
| 1770712838 | James Daniel Doll | Dentist | 1737 N 2000 W, Clinton, UT 84015-8214 | 2009-07-10 |
| 1477725851 | Children's Dental Group Pllc | Dentist | 539a Highway 80 W, Clinton, MS 39056-4193 | 2008-03-26 |
| 1215037445 | Tammi Taylor Lockhart | Dentist | 539a Highway 80 W, Clinton, MS 39056-4193 | 2006-09-25 |
| 1114025772 | Stephanie Phillips Dungey | Dentist | 539a Highway 80 W, Clinton, MS 39056-4193 | 2006-09-20 |
| 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 |
| 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 |
| 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.