ADVANCED DENTAL SPA (NPI# 1164621793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164621793 |
| Entity Type | Organization |
| Organization Name | ADVANCED DENTAL SPA |
| Practice Address |
144 Dartmouth St New Bedford MA 02740-3101 |
| Mailing Address |
140 Dartmouth Street New Bedford MA 02740 |
| Practice Telephone | 7746889226 |
| Mailing Telephone | 7746889226 |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2007-07-13 |
| Authorized Official Name | DR. VIVIANNE J KHALIFE-YAZBECK (PRESIDENT) |
| Authorized Official Telephone | 7746889226 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
21657 | MA | Dental Providers |
| Street Address |
144 DARTMOUTH ST |
| City | NEW BEDFORD |
| State | MA |
| Zip Code | 02740-3101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568626075 | Raed Daniel Abou-yazbeck | Dentist | 144 Dartmouth St, New Bedford, MA 02740-3101 | 2008-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689294019 | Jacqueline Maye | Homemaker | 167 North Street, New Bedford, MA 02740 | 2020-04-27 |
| 1467095810 | Siere Jennifer Alkee | Psychiatry & Neurology | 68 N.front St, New Bedford, MA 02740 | 2019-10-17 |
| 1285282285 | Michelle Marie Montella | Counselor | 5 Dover St., New Bedford, MA 02740 | 2019-09-03 |
| 1891349460 | Carla E Fernandes | Counselor | 89 Pleasant Street, Apt 2, New Bedford, MA 02740 | 2019-07-31 |
| 1881156446 | Rachael Nylin | Health Educator | 128 Union St, Ste 204, New Bedford, MA 02740 | 2019-04-03 |
| 1194207563 | Wendy Anne Pacheco | Social Worker | 179 William Street, New Bedford, MA 02740 | 2018-09-03 |
| 1972085306 | Clear Coast Dental Pllc | Dentist | 906 Hathaway Road, New Bedford, MA 02740 | 2018-09-01 |
| 1538646617 | Derek Baptiste | Counselor | 68 N. Front St, New Bedford, MA 02740 | 2018-07-23 |
| 1316439227 | Savanna Alexandrea Jones | Social Worker | 543 North St., New Bedford, MA 02740 | 2018-06-06 |
| 1265940860 | My Dental New Bedford | Clinic/Center | 770 Purchase St, New Bedford, MA 02740 | 2018-01-17 |
| Find all providers in zip 02740 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972085306 | Clear Coast Dental Pllc | Dentist | 906 Hathaway Road, New Bedford, MA 02740 | 2018-09-01 |
| 1942447289 | Dental Dreams, LLC | Dentist | 1054 Kings Highway, New Bedford, MA 02745 | 2009-01-08 |
| 1871741983 | Seunghee Song | Dentist | 75 Wamsutta Street, Apt # 308, New Bedford, MA 02740 | 2008-09-03 |
| 1871764563 | Donald E Jaffe, Dmd PC | Dentist | 319 Union St # A, New Bedford, MA 02740-5020 | 2008-03-20 |
| 1558584490 | Gerald S Cohen | Dentist | 1249 Ashley Blvd, New Bedford, MA 02745-1536 | 2007-04-10 |
| 1720130073 | Seigars & Askew P.C. | Dentist | 1318 Ashley Blvd, New Bedford, MA 02745-1534 | 2007-01-17 |
| 1396811428 | Paul M Medeiros Dmd PC | Dentist | 368 Union St, New Bedford, MA 02740 | 2006-11-28 |
| 1033285341 | Craig Andrew Lippincott | Dentist | 758 Ashley Blvd, New Bedford, MA 02745-5546 | 2006-11-28 |
| 1184790057 | T.chang&c.lee Dmd PC | Dentist | 500 Kings Highway, New Bedford, MA 02745 | 2006-11-24 |
| 1700965373 | Jeffrey P Silva | Dentist | 2228 Acushnet Ave, New Bedford, MA 02745 | 2006-11-03 |
| Find all providers in NEW BEDFORD | ||||
| City | NEW BEDFORD |
| Zip Code | 02740 |
Please comment or provide details below to improve the information on ADVANCED DENTAL SPA.
| 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.