TRUSTEES OF TUFTS UNIVERSITY (NPI# 1508169830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508169830 |
| Entity Type | Organization |
| Organization Name | TRUSTEES OF TUFTS UNIVERSITY |
| Other Organization Name | TUFTS DENTAL FACILITY TEMPLETON |
| Practice Address |
212 Freight Shed Road Baldwinville MA 01436 |
| Practice Telephone | 9789392161 |
| Mailing Telephone | 9789392161 |
| Enumeration Date | 2010-12-08 |
| Last Update Date | 2010-12-08 |
| Authorized Official Name | DR. DARREN J DRAG (DIRECTOR OF CLINICAL OPERATIONS) |
| Authorized Official Telephone | 7818996020 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
20040 | MA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| TUFTS DENTAL FACILITY TEMPLETON | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740405356 | Trustees of Tufts University | Clinic/Center | 450 Maple St, Hathorne, MA 01937 | 2007-04-17 |
| 1508206012 | Trustees of Tufts University | Clinic/Center | 1275 Elm St, West Springfield, MA 01089-1820 | 2013-06-28 |
| 1144514027 | Trustees of Tufts University | Clinic/Center | 3 Randolph St, Bradford Building, 2nd Floor, Canton, MA 02021-2351 | 2011-06-08 |
| 1720381064 | Trustees of Tufts University | Clinic/Center | 1 Kneeland Street, 3rd Floor, Boston, MA 02111 | 2010-12-08 |
| 1467755702 | Trustees of Tufts University | Clinic/Center | 22 Hillside Ave, Groton, MA 01450 | 2010-12-08 |
| 1760608608 | Trustees of Tufts University | Clinic/Center | 175 State Ave, Palmer, MA 01069-1843 | 2007-04-18 |
| 1871719104 | Trustees of Tufts University | Clinic/Center | 200 Trapelo Rd, Waltham, MA 02452-6332 | 2007-04-17 |
| 1295959849 | Trustees of Tufts University | Clinic/Center | 200 Trapelo Rd, Waltham, MA 02452-6332 | 2007-04-13 |
| 1104040757 | Trustees of Tufts University | Clinic/Center | 81 Hope Ave, Worcester, MA 01603-2212 | 2007-04-13 |
| 1679797211 | Trustees of Tufts University | Clinic/Center | 2007 Bay St, Taunton, MA 02780-1086 | 2007-04-13 |
| Street Address |
212 FREIGHT SHED ROAD |
| City | BALDWINVILLE |
| State | MA |
| Zip Code | 01436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437651247 | Stacey Lynn Sparks | Counselor | 12 Fern Street, Baldwinville, MA 01436 | 2018-03-07 |
| 1164923421 | Janet Alice Johnson | Community Health Worker | 23 State Road, Baldwinville, MA 01436 | 2018-02-22 |
| 1194241513 | Samuel Andrew Sjostedt | Counselor | 18 Shaw Road, Baldwinville, MA 01436 | 2017-08-17 |
| 1730498965 | Jessica Lyn Blanding | Counselor | 184 Freight Shed Rd, Baldwinville, MA 01436 | 2010-10-05 |
| 1437322740 | Hearthside Elderhomes, LLC | Assisted Living Facility | 676 Baldwinville Road, Baldwinville, MA 01436 | 2008-04-08 |
| 1952526691 | Synaptic Chiropractic Center | Chiropractor | 630 Baldwinville Rd., Baldwinville, MA 01436 | 2007-04-16 |
| 1477673689 | Todd G Mexico | Chiropractor | 630 Baldwinville Road., Baldwinville, MA 01436 | 2007-03-30 |
| 1942535653 | Kelly Clow | Registered Nurse | 570 Baldwinville Rd, Baldwinville, MA 01436 | 2009-10-14 |
| 1730307513 | Department of Developmental Services | Intermediate Care Facility, Mentally Retarded | 212 Freight Shed Rd, Templeton Dev Cntr, Baldwinville, MA 01436 | 2007-04-24 |
| 1063988467 | Britany Jackson | Behavior Technician | 24 Main St Apt B, Baldwinville, MA 01436-1107 | 2018-10-23 |
| Find all providers in zip 01436 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | BALDWINVILLE |
| Zip Code | 01436 |
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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.