GEORGETOWN DENTAL, P.C. (NPI# 1184140139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184140139 |
| Entity Type | Organization |
| Organization Name | GEORGETOWN DENTAL, P.C. |
| Practice Address |
25 E Main St Ste 3 Georgetown MA 01833-2007 |
| Practice Telephone | (978) 352-6467 |
| Mailing Telephone | 9783526467 |
| Enumeration Date | 2017-08-21 |
| Last Update Date | 2017-08-21 |
| Authorized Official Name | DR. CHAN WOOK CHEONG (PRESIDENT) |
| Authorized Official Telephone | 9783526467 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
DN1855564 | MA | Dental Providers |
| Street Address |
25 E MAIN ST STE 3 |
| City | GEORGETOWN |
| State | MA |
| Zip Code | 01833-2007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013494731 | Elizabeth Anne Carroll | Social Worker | Penn Brook School 68 Elm St, Georgetown, MA 01833 | 2018-07-25 |
| 1316259773 | North Shore Psychodiagnostics | Psychologist | One East Main Street, Georgetown, MA 01833 | 2010-07-13 |
| 1437344140 | Irene V Kelley | Physical Therapist | 1 Marlboro Road, Georgetown, MA 01833 | 2007-09-06 |
| 1790991115 | Gerri Spector-brady | Occupational Therapy Assistant | 1 Emily Ln, Georgetown, MA 01833 | 2007-05-15 |
| 1952513061 | Debra Ann Johnson | Registered Nurse | 9 Village Lane, Georgetown, MA 01833 | 2007-05-03 |
| 1912122664 | Maureen Sherry-bianco | Registered Nurse | 17 Larkspur Circle, Georgetown, MA 01833 | 2007-04-16 |
| 1336255207 | Pamela M Waggoner | Social Worker | 65 Central St., Georgetown, MA 01833 | 2006-08-22 |
| 1841243375 | Marjorie Jean Talacko | Occupational Therapist | 25 Summer St, Georgetown, MA 01833 | 2006-05-18 |
| 1578670881 | Baldpate Psychiatric Associates | Psychologist | 83 Baldpate Rd, Georgetown, MA 01833 | 2006-08-23 |
| 1225671068 | Cassidy Troy | Student in an Organized Health Care Education/Training Program | 33 Thurlow St, Georgetown, MA 01833-1129 | 2019-10-24 |
| Find all providers in zip 01833 | ||||
| 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 |
|---|---|---|---|---|
| 1982964540 | Dario A Valencia David | Dentist | 212 Seminole Canyon Dr, Georgetown, TX 78628-7194 | 2012-05-16 |
| 1063897551 | Veritas Prosthodontics, P.C. | Dentist | 25 E Main St, Georgetown, MA 01833-2007 | 2015-07-25 |
| 1619237062 | Torres Dental Specialties Pllc | Dentist | 4402 Williams Dr, Suite #104, Georgetown, TX 78628-1300 | 2012-05-19 |
| 1306129473 | Horizon Dental Care | Dentist | 1615 Williams Dr, Georgetown, TX 78628-3659 | 2011-09-24 |
| 1811937915 | Gloria Tijerina Torres | Dentist | 4402 Williams Drive, Suite # 104, Georgetown, TX 78628 | 2006-06-07 |
| 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 |
| 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 |
| 1295113355 | Mission Hill Dental Services | Dentist | 780 Boylston St Apt 3c, Boston, MA 02199-7802 | 2015-05-09 |
| Find all providers with the same taxonomy | ||||
| City | GEORGETOWN |
| Zip Code | 01833 |
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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.