TRUSTEES OF TUFTS UNIVERSITY (NPI# 1144514027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144514027 |
| Entity Type | Organization |
| Organization Name | TRUSTEES OF TUFTS UNIVERSITY |
| Other Organization Name | TUFTS DENTAL FACILITY AT THE MASSACHUSETTS HOSPITAL SCHOOL |
| Practice Address |
3 Randolph St Bradford Building, 2nd Floor Canton MA 02021-2351 |
| Practice Telephone | 6176363849 |
| Mailing Telephone | 6176363849 |
| Enumeration Date | 2011-06-08 |
| Last Update Date | 2011-06-08 |
| Authorized Official Name | DR. DARREN J DRAG (DIRECTOR OF CLINICAL OPERATIONS) |
| Authorized Official Telephone | 7818996020 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
20040 | MA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| TUFTS DENTAL FACILITY AT THE MASSACHUSETTS HOSPITAL SCHOOL | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508169830 | Trustees of Tufts University | Clinic/Center | 212 Freight Shed Road, Baldwinville, MA 01436 | 2010-12-08 |
| 1740405356 | Trustees of Tufts University | Clinic/Center | 450 Maple St, Hathorne, MA 01937 | 2007-04-17 |
| 1508206012 | Trustees of Tufts University | Clinic/Center | 1275 Elm St, West Springfield, MA 01089-1820 | 2013-06-28 |
| 1720381064 | Trustees of Tufts University | Clinic/Center | 1 Kneeland Street, 3rd Floor, Boston, MA 02111 | 2010-12-08 |
| 1467755702 | Trustees of Tufts University | Clinic/Center | 22 Hillside Ave, Groton, MA 01450 | 2010-12-08 |
| 1760608608 | Trustees of Tufts University | Clinic/Center | 175 State Ave, Palmer, MA 01069-1843 | 2007-04-18 |
| 1871719104 | Trustees of Tufts University | Clinic/Center | 200 Trapelo Rd, Waltham, MA 02452-6332 | 2007-04-17 |
| 1295959849 | Trustees of Tufts University | Clinic/Center | 200 Trapelo Rd, Waltham, MA 02452-6332 | 2007-04-13 |
| 1104040757 | Trustees of Tufts University | Clinic/Center | 81 Hope Ave, Worcester, MA 01603-2212 | 2007-04-13 |
| 1679797211 | Trustees of Tufts University | Clinic/Center | 2007 Bay St, Taunton, MA 02780-1086 | 2007-04-13 |
| Street Address |
3 RANDOLPH ST BRADFORD BUILDING, 2ND FLOOR |
| City | CANTON |
| State | MA |
| Zip Code | 02021-2351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205803798 | Anton Blaine Dodek | Pediatrics | 3 Randolph St, Canton, MA 02021-2351 | 2006-03-02 |
| 1841763679 | Janet Labelle | Social Worker | 3 Randolph St, Canton, MA 02021-2351 | 2019-01-03 |
| 1114494002 | Emily L Koelsch | Nurse Practitioner | 3 Randolph St, Canton, MA 02021-2351 | 2018-10-29 |
| 1528351186 | Amy Sullivan | Occupational Therapist | 3 Randolph St, Canton, MA 02021-2351 | 2011-05-16 |
| 1194032425 | Fatima A Watt | Psychologist | 3 Randolph St, Canton, MA 02021-2351 | 2010-09-08 |
| 1487980124 | Julie Slotnick | Nurse Practitioner | 3 Randolph St, Canton, MA 02021-2351 | 2009-11-01 |
| 1689832057 | Geoffrey Scott Reinhold | Occupational Therapist | 3 Randolph St, Canton, MA 02021-2351 | 2008-06-01 |
| 1144488040 | Isabel M Balmaseda | Acupuncturist | 3 Randolph St, Canton, MA 02021 | 2008-05-28 |
| 1003083007 | Carolanne Marie Oller | Specialist | 3 Randolph St, Canton, MA 02021-2351 | 2008-05-09 |
| 1881887982 | Karen Wheeler Madden | Nurse Practitioner | 3 Randolph St, Canton, MA 02021-2351 | 2007-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265931331 | Faith Alpiche Felitto | Registered Nurse | 9 Bay Drive, Apt 113, Canton, MA 02021 | 2018-02-05 |
| 1184122103 | Mind Compass, LLC | Counselor | 45 Dan Road, C/o Workspace@45, Suite 19, Canton, MA 02021 | 2018-01-24 |
| 1861903353 | Daphnis Colin | Registered Nurse | 211 Bay Drive, Canton, MA 02021 | 2017-10-24 |
| 1245772276 | Rebecca Selenow | Counselor | 10 Emerson Rd, Canton, MA 02021 | 2016-11-08 |
| 1407398449 | Brightview Canton LLC | Alzheimer Center (Dementia Center) | 125 Turnpike Street, Canton, MA 02021 | 2016-11-08 |
| 1699144014 | Marguerite Hobbs | Social Worker | 55 Pecunit St, Canton, MA 02021 | 2015-09-15 |
| 1447662234 | Cornerstone At Canton Assisted Living LLC | Assisted Living Facility | 175 Revere Street, Canton, MA 02021 | 2014-05-28 |
| 1508100157 | Greystone Pain Management Inc | Psychiatry & Neurology | 21 Rockland St, Unit M, Canton, MA 02021 | 2012-11-20 |
| 1457678062 | Smile Designs Inc | Dentist | 95 Washington St # 480, Smile Designs Inc, Canton, MA 02021 | 2010-04-23 |
| 1114178803 | Jennifer Diana Marie Woodbury | Specialist/Technologist | 1 Whitman Road, Clarke School East, Canton, MA 02021 | 2008-10-01 |
| Find all providers in zip 02021 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053958603 | Inspire Dentistry Pllc | Clinic/Center | 43050 Ford Rd Ste 190, Canton, MI 48187-3359 | 2019-12-03 |
| 1730647272 | Epic Smile Centers of Michigan Pllc | Clinic/Center | 45001 Ford Rd # 104-d, Canton, MI 48187-2907 | 2019-03-04 |
| 1437573748 | Dentistry At Hickory Flat PC | Clinic/Center | 6199 Hickory Flat Hwy Ste 130, Canton, GA 30115-7255 | 2014-02-06 |
| 1811161060 | David N. Kam, D.d.s., P.C. | Clinic/Center | 155 N Canton Center Rd, Canton, MI 48187-2901 | 2008-04-18 |
| 1801919287 | Oakland Family Dental Care, Plc | Clinic/Center | 7184 Meadowbrook Dr, Canton, MI 48187-3552 | 2007-04-09 |
| 1154929594 | Sean R O'brien | Clinic/Center | 1716 S Lilley Rd, Canton, MI 48188-1108 | 2020-10-16 |
| 1407462187 | Canton Ardent | Clinic/Center | 45650 Ford Rd, Canton, MI 48187-5432 | 2020-09-18 |
| 1073146726 | Forever Smiles Orthodontics Pllc | Clinic/Center | 4227 S Canton Center Rd, Canton, MI 48188-2448 | 2020-02-20 |
| 1609439728 | Joseph Gondoly Dds PC | Clinic/Center | 44356 Cherry Hill Rd, Canton, MI 48187-3274 | 2019-04-15 |
| 1831693019 | Munson Dental and Facial Aesthetics | Clinic/Center | 4811 Munson St Nw, Canton, OH 44718-3614 | 2018-03-21 |
| Find all providers in CANTON | ||||
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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.