STEADFAST FAMILY DENTAL LLC (NPI# 1619459500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619459500 |
| Entity Type | Organization |
| Organization Name | STEADFAST FAMILY DENTAL LLC |
| Practice Address |
824 Southbridge St Ste 200 Auburn MA 01501-1332 |
| Practice Telephone | 5088328826 |
| Mailing Telephone | 5088328826 |
| Enumeration Date | 2018-09-06 |
| Last Update Date | 2018-09-06 |
| Authorized Official Name | DR. BENJAMIN TUBO (OWNER) |
| Authorized Official Telephone | 5088328826 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
DN1856659 | MA | Ambulatory Health Care Facilities |
| Street Address |
824 SOUTHBRIDGE ST STE 200 |
| City | AUBURN |
| State | MA |
| Zip Code | 01501-1332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124437793 | Benjamin Tubo | Dentist | 824 Southbridge St Ste 200, Auburn, MA 01501 | 2014-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366075533 | Pawlished Pet Services LLC | Driver | 81 Oxford St North, Auburn, MA 01501 | 2020-02-17 |
| 1417588633 | Kaitlin Smith | Behavioral Analyst | 35 Midstate Drive, Auburn, MA 01501 | 2020-01-27 |
| 1558881011 | Rahab Karue | Behavioral Analyst | 23 Midstate Drive Suite 214, Apex K Home Care, Auburn, MA 01501 | 2017-06-26 |
| 1578917688 | Family Behavioral Health Inc | Behavioral Analyst | 482 Southbridge St Ste 374, Auburn, MA 01501 | 2016-04-15 |
| 1467861724 | Katharine Budra | Physical Therapist | 1 Swanson Rd Ste 1, Auburn, MA 01501 | 2014-08-11 |
| 1164857835 | Kelley Bailey | Social Worker | 714b Southbridge St Ste 6, Auburn, MA 01501 | 2013-09-12 |
| 1023459450 | Usman Javed | Dentist | 434 Souhtbridge St, Auburn, MA 01501 | 2013-07-15 |
| 1588919914 | Caitlin Murphy | Physical Therapist | 1 Swanson Rd Ste 1c, Auburn, MA 01501 | 2012-07-23 |
| 1336406453 | Michael J Cohn O.d. Pllc | Optometrist | 48 Auburn Street, Auburn, MA 01501 | 2012-04-13 |
| 1306118526 | Justine Caron Isakson | Counselor | 714b Southbridge Street, Auburn, MA 01501 | 2012-02-03 |
| Find all providers in zip 01501 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689295339 | Liles Family Dentistry, LLC | Clinic/Center | 2234 Ogletree Village Ln, Auburn, AL 36830-2967 | 2020-05-05 |
| 1376175190 | Eid, Jaber, Jassar, Pllc | Clinic/Center | 4018 A St Se, Auburn, WA 98002-3858 | 2020-02-10 |
| 1568934313 | 42 North Dental Care Pllc | Clinic/Center | 1 Willow Run Unit 1b, Auburn, ME 04210-8501 | 2018-12-18 |
| 1386121473 | Joshua D Mathis Dds LLC | Clinic/Center | 2311 Bent Creek Rd., Ste 500, Auburn, AL 36830 | 2018-07-23 |
| 1699273938 | Auburn Dental Care | Clinic/Center | 1102 Outlet Collection Way Sw Ste 101, Auburn, WA 98001-6574 | 2018-01-31 |
| 1083138416 | Raymond L. Bolt, Dmd PC | Clinic/Center | 1550 Opelika Rd Ste 6-167, Auburn, AL 36830-7618 | 2017-07-27 |
| 1124459896 | Bridget Reilly | Clinic/Center | 210 South Hoopes Ave, Auburn, NY 13021 | 2013-12-06 |
| 1437423928 | Polsky Dds &virk Dmd Ms Ps | Clinic/Center | 1002 15th St Sw, Suite 215, Auburn, WA 98001-6502 | 2012-02-29 |
| 1053934273 | Matthew Harris Dmd Professional Corporation | Clinic/Center | 11010 Combie Rd Ste 208, Auburn, CA 95602-8948 | 2020-05-21 |
| 1861030983 | Steve Keejin Hwang Dds Pllc | Clinic/Center | 701 M St Ne Ste 104, Auburn, WA 98002-4500 | 2019-12-19 |
| Find all providers in AUBURN | ||||
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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.