CENTRAL DENTAL ASSOCIATES (NPI# 1417048117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417048117 |
| Entity Type | Organization |
| Organization Name | CENTRAL DENTAL ASSOCIATES |
| Other Organization Name | S CORPORATION |
| Practice Address |
47 Central St Norwood MA 02062 |
| Practice Telephone | 7817693566 |
| Practice Fax Number | 7817690992 |
| Mailing Telephone | 7817693566 |
| Mailing Fax Number | 7817690992 |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. ROBERT L VIVENTI (OWNER) |
| Authorized Official Telephone | 7817693566 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 1223E0200X |
Dentist Specialization: Endodontics |
17718 | MA | Dental Providers |
| X | 1223G0001X |
Dentist Specialization: General Practice |
15645 | MA | Dental Providers |
| X | 1223G0001X |
Dentist Specialization: General Practice |
18350 | MA | Dental Providers |
| X | 1223P0300X |
Dentist Specialization: Periodontics |
17964 | MA | Dental Providers |
| Other Name | Type Code |
|---|---|
| S Corporation | Other Name - Individual/Organization |
| Street Address |
47 CENTRAL ST |
| City | NORWOOD |
| State | MA |
| Zip Code | 02062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285258723 | David Michaels | Dentist | 47 Central St, Norwood, MA 02062-3503 | 2020-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225647530 | Lauren Taylor Robbins | Licensed Practical Nurse | 21 Centennial Drive Apt. #3, Norwood, MA 02062 | 2020-07-23 |
| 1013566645 | David Ora Bailey | Counselor | 109 Lenox St., Norwood, MA 02062 | 2019-09-06 |
| 1124599154 | Larisa Stein Dmd, PC-family Dentist | Dentist | 661 Washington Street, Suite 211, Norwood, MA 02062 | 2018-12-17 |
| 1861963134 | Noreen Donne O'hear | Social Worker | 33 George Willett Parkway, Cleveland School, Norwood, MA 02062 | 2018-12-16 |
| 1194242719 | Bidmc Pharmacy, Inc. | Pharmacy | 128 Carnegie Row Ste 110, Norwood, MA 02062 | 2017-08-24 |
| 1023534153 | Foscaldo Healthcare LLC | Home Health | 639 Washington Street, Norwood, MA 02062 | 2017-08-21 |
| 1841710845 | Julia Rose Straus | Speech-Language Pathologist | 101 Vanderbilt Avenue, Norwood, MA 02062 | 2017-06-21 |
| 1043754484 | Recovery Solutions LLC | Clinical Medical Laboratory | 151 Edgehill Rd, Norwood, MA 02062 | 2016-12-05 |
| 1780137273 | Gentle Dental Associates, LLC | Clinic/Center | 980 Providence Highway, Norwood, MA 02062 | 2016-08-01 |
| 1720458094 | Jada Evans | Psychologist | 18 Sturtevant Ave, Apt. 1, Norwood, MA 02062 | 2015-09-30 |
| Find all providers in zip 02062 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063593994 | Salvatore Francis Vinci | Dentist | 761 Washington Street, Norwood, MA 02062-6612 | 2006-10-18 |
| 1053497719 | Christopher N Bissada | Dentist | 761 Washington Street, Norwood, MA 02062-6612 | 2006-10-27 |
| 1336235340 | Marvin Alan Eichner | Dentist | 761 Washington St, Norwood, MA 02062-6612 | 2006-10-05 |
| 1609970904 | Endodontic Care PC | Dentist | 761 Washington St, Norwood, MA 02062 | 2006-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508464603 | Thabet Housami | Dentist | 635 Albany Street G-201, Boston, MA 02118-2392 | 2020-10-12 |
| 1255954178 | Citidental Brookline Pllc | Dentist | 637 Washington St Ste 210, Brookline, MA 02446-4579 | 2020-05-27 |
| 1972135028 | Endodontic Center, P.C. | Dentist | 1256 Park St Ste 203, Stoughton, MA 02072-3745 | 2020-02-06 |
| 1497228498 | Westwood Dental Associates, LLC | Dentist | 541 High St Ste 3, Westwood, MA 02090-1628 | 2019-01-02 |
| 1720561459 | Omar Alkhattab | Dentist | 72 E Concord St Rm 318, Boston, MA 02118-2307 | 2018-09-10 |
| 1851892434 | Anne Lauren Koch | Dentist | 29 Lewis Bay Blvd, Suite 4, West Yarmouth, MA 02673 | 2018-02-28 |
| 1912407560 | Endodontic Care of Ma, P.C. | Dentist | 151 E Central St, Franklin, MA 02038-1439 | 2018-02-20 |
| 1366940389 | Glick & Ritch Endo North Andover PC | Dentist | 140 Willow St # 2, North Andover, MA 01845-5918 | 2018-01-24 |
| 1295251007 | Iona Dental, P.C. (parent Organization) | Dentist | 10 Granite Street, Unit - 4c, Quincy, MA 02169 | 2017-08-15 |
| 1588198667 | Rafael Carmona | Dentist | 1290 Tremont St Fl 2, Roxbury, MA 02120-3432 | 2017-04-17 |
| Find all providers with the same taxonomy | ||||
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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.