DR. GEORGE WELLINGTON MCEACHERN III (NPI# 1265583348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265583348 |
| Entity Type | Individual |
| Full Name | DR. GEORGE WELLINGTON MCEACHERN III |
| Credential | DMD |
| Practice Address |
1749 Massachusetts Ave Cambridge MA 02140-2217 |
| Practice Telephone | 6174911161 |
| Practice Fax Number | 6176611555 |
| Mailing Telephone | 6174911161 |
| Mailing Fax Number | 6176611555 |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
10343 | MA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 0224596 | 05 |
| Street Address |
1749 MASSACHUSETTS AVE |
| City | CAMBRIDGE |
| State | MA |
| Zip Code | 02140-2217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619497856 | Grace Jerome Creech | Dentist | 1749 Massachusetts Ave, Cambridge, MA 02140-2217 | 2017-06-20 |
| 1003229543 | Fatima Pirzada Aziz | Dentist | 1749 Massachusetts Ave, Cambridge, MA 02140 | 2014-06-03 |
| 1871743187 | Ronald W. Smith, D.d.s., P.C. | Dentist | 1749 Massachusetts Ave, Cambridge, MA 02140-2217 | 2008-09-23 |
| 1043488463 | Albert Ray Duarte | Dentist | 1749 Massachusetts Ave, Cambridge, MA 02140-2217 | 2008-02-19 |
| 1710030986 | Cambridge Pediatric Dental Associates, P.C. | Dentist | 1749 Massachusetts Ave, Cambridge, MA 02140-2217 | 2007-01-19 |
| 1417009796 | Sara Louise Filstrup | Dentist | 1749 Massachusetts Ave, Cambridge, MA 02140-2217 | 2007-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942819784 | Bluesky Telepsych, Inc. | Psychiatry & Neurology | 125 Cambridge Park Drive, Suite 306, Cambridge, MA 02140 | 2020-07-28 |
| 1043837990 | Nancy Villa | Community/Behavioral Health | 10 Concord Tpke, Cambridge, MA 02140 | 2020-06-26 |
| 1356976625 | Jennifer Ahonen | Nurse Practitioner | 36 White Street, Cambridge, MA 02140 | 2020-03-07 |
| 1366961120 | Boston Eye Care Center, LLC | Ophthalmology | 2464 Massachusetts Ave Ste 200, Cambridge, MA 02140 | 2017-09-13 |
| 1992225015 | Figen Esen | Student in an Organized Health Care Education/Training Program | 160 Cabridgepark Drive, Apt 295, Cambridge, MA 02140 | 2017-06-20 |
| 1063870038 | Kelli Swensen | Dietitian, Registered | 160 Cambridge Park Dr, 168, Cambridge, MA 02140 | 2016-02-05 |
| 1851731822 | Gabriella Maree Pugliese | Pharmacist | 822 Somerville Ave, Cambridge, MA 02140 | 2013-07-04 |
| 1609211531 | Hyuna Lee | Dentist | 160 Cambridgepark Drive, Suite 390, Cambridge, MA 02140 | 2013-05-06 |
| 1740555366 | Aesook Kwon | Registered Nurse | 1493 Cambrige St, Cambridge Hospital, Cambrige, MA 02140 | 2012-03-14 |
| 1740557743 | In Sync Physical Therapy, LLC | Clinic/Center | 1798a Massachusetts Avenue, Suite 2, Cambridge, MA 02140 | 2011-11-19 |
| Find all providers in zip 02140 | ||||
| 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 |
|---|---|---|---|---|
| 1093065179 | Gulsun Gul | Dentist | 245 1st St, 17th Floor, Cambridge, MA 02142-1200 | 2012-09-14 |
| 1790077857 | Hubert J Park | Dentist | 80 Fawcett St Unit 252, Cambridge, MA 02138-1151 | 2011-05-09 |
| 1316957962 | Ronald W Smith | Dentist | 1749 Mass Ave, Cambridge, MA 02140 | 2006-08-08 |
| 1003229543 | Fatima Pirzada Aziz | Dentist | 1749 Massachusetts Ave, Cambridge, MA 02140 | 2014-06-03 |
| 1578823902 | Cambridge Children's Dentistry PC | Dentist | 575 Mount Auburn St, Suite 201, Cambridge, MA 02138-4656 | 2012-05-18 |
| 1265751937 | Usman Shaukat Ali | Dentist | 503 Muir St Ste A, Cambridge, MD 21613-1848 | 2010-05-20 |
| 1871743187 | Ronald W. Smith, D.d.s., P.C. | Dentist | 1749 Massachusetts Ave, Cambridge, MA 02140-2217 | 2008-09-23 |
| 1821295452 | Pedram Javedan | Dentist | 575 Mount Auburn St, Suite 201, Cambridge, MA 02138-4656 | 2007-06-28 |
| 1710030986 | Cambridge Pediatric Dental Associates, P.C. | Dentist | 1749 Massachusetts Ave, Cambridge, MA 02140-2217 | 2007-01-19 |
| 1417009796 | Sara Louise Filstrup | Dentist | 1749 Massachusetts Ave, Cambridge, MA 02140-2217 | 2007-01-17 |
| Find all providers in CAMBRIDGE | ||||
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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.