AVON DENTAL GROUP, PLLC (NPI# 1326688706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326688706 |
Entity Type | Organization |
Organization Name | AVON DENTAL GROUP, PLLC |
Practice Address |
747 W Main St Avon MA 02322-1746 |
Mailing Address |
907 Main St Brockton MA 02301-6629 |
Practice Telephone | 5085878300 |
Enumeration Date | 2020-01-13 |
Last Update Date | 2020-01-13 |
Authorized Official Name | MRUGANK SARDHARA (MEMBER) |
Authorized Official Telephone | 5085881400 |
Authorized Official Credential | DDS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
Street Address |
747 W MAIN ST |
City | AVON |
State | MA |
Zip Code | 02322-1746 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104821214 | Thomas Joseph Curtin | Dentist | 747 W Main St, Avon, MA 02322-1746 | 2005-06-15 |
1811194574 | Thomas J Curtin, D.d.s.,pc | Dentist | 747 W Main St, Avon, MA 02322-1746 | 2007-06-27 |
1598970139 | Anton George Andrews | Dentist | 747 W Main St, Avon, MA 02322-1746 | 2007-05-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942478284 | Wendy Champagnie Williams | Social Worker | 185 North Main Street, Avon, MA 02322 | 2008-02-20 |
1952521395 | Bruce Mitchell Doyle | Dentist | 255 West Main St, Avon, MA 02322 | 2007-04-26 |
1720112527 | Town of Avon | Local Education Agency (LEA) | 12 Patrick Clark Drive, Avon, MA 02322 | 2007-03-15 |
1033229653 | Costco Wholesale Corporation | Pharmacy | 120 Stockwell Dr, Avon, MA 02322 | 2006-08-30 |
1649319476 | Grow-associates, Inc. | Day Training, Developmentally Disabled Services | 101 Wales Ave, Avon, MA 02322-1006 | 2007-02-06 |
1659377802 | Premier Diagnostic Services, Inc. | Radiologic Technologist | 54 Bodwell St, Suite C, Avon, MA 02322-1111 | 2005-06-22 |
1134307408 | Premier Diagnostic Services Inc 2 | Technician, Cardiology | 54 Bodwell St, Rear, Avon, MA 02322-1111 | 2008-02-08 |
1891181897 | Costco Wholesale Corporation | Hearing Aid Equipment | 120 Stockwell Dr, Avon, MA 02322-1149 | 2015-04-07 |
1639563836 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 120 Stockwell Dr, Avon, MA 02322-1149 | 2015-03-25 |
1922345321 | Cathleen Ellen Brien | Pharmacist | 120 Stockwell Dr, Avon, MA 02322-1149 | 2013-01-07 |
Find all providers in zip 02322 |
Taxonomy Code | 261QD0000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Dental |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578004107 | Retro Dental Group Avon | Clinic/Center | 50 Buck Creek Rd, Suite 305, Avon, CO 81620 | 2017-03-15 |
1255654299 | Siobhan M. Stephen, Dmd, Md, LLC | Clinic/Center | 33 Dale Rd, Avon, CT 06001-3612 | 2010-03-04 |
1881155471 | John T Webster, Dds, Inc. | Clinic/Center | 36701 American Way Ste 1, Avon, OH 44011-4064 | 2019-03-27 |
1134633530 | Skdental,pllc | Clinic/Center | 50 Buck Creek Rd, Suite 305, Avon, CO 81620 | 2017-11-21 |
1689940744 | Mitchell S Katz Dds and Associates, PC | Clinic/Center | 111 Simsbury Rd, Avon, CT 06001-3763 | 2012-03-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588265771 | Sidhu Family Dental LLC | Clinic/Center | 15 West St Ste 101, Douglas, MA 01516-2160 | 2020-11-04 |
1205436276 | The Nurture Frenectomy Center | Clinic/Center | 200 Elm St Ste 1, Pittsfield, MA 01201-6551 | 2020-10-29 |
1417557463 | Marva Khalid Dentistry PC | Clinic/Center | 105 Chestnut St Ste 25, Needham, MA 02492-2520 | 2020-10-29 |
1417555855 | Gardner Smiles Pllc | Clinic/Center | 356 Timpany Blvd, Gardner, MA 01440-5200 | 2020-10-16 |
1326646399 | Restoration Smiles, P.C. | Clinic/Center | 2 Coolidge St Ste 202, Hudson, MA 01749-1459 | 2020-10-13 |
1295333573 | Brian P. Ganley, Dmd, PC | Clinic/Center | 134 Main St Unit 1c, Groton, MA 01450-1375 | 2020-10-09 |
1619583168 | Newton Wellesley Dental Group LLC | Clinic/Center | 447 Centre Street, Same, Newton, MA 02458 | 2020-09-21 |
1114533866 | Cdg Back Bay LLC | Clinic/Center | 400 Commonwealth Ave 3rd Floor, Boston, MA 02215 | 2020-09-18 |
1831703099 | Beacon Dental Health PC | Clinic/Center | 80 Washington St Bldg B, Norwell, MA 02061-1740 | 2020-09-04 |
1487267282 | Shoe City Family Dental PC | Clinic/Center | 103 Merrimack St, Haverhill, MA 01830-6208 | 2020-08-31 |
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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.