ADVANCED DENTAL PROFESSIONALS,PC (NPI# 1760755417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760755417 |
| Entity Type | Organization |
| Organization Name | ADVANCED DENTAL PROFESSIONALS,PC |
| Practice Address |
413 Broadway Ste 101 Methuen MA 01844 |
| Mailing Address |
413 Broadway Ste101 Methuen MA 01844 |
| Practice Telephone | 9782583252 |
| Mailing Telephone | 9782583252 |
| Enumeration Date | 2012-02-10 |
| Last Update Date | 2012-02-10 |
| Authorized Official Name | RANDALL L DAVIS (PRESIDENT) |
| Authorized Official Telephone | 9782583252 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
16356 | MA | Dental Providers |
| Street Address |
413 BROADWAY STE 101 |
| City | METHUEN |
| State | MA |
| Zip Code | 01844 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295707834 | David A Avila | Pediatrics | 413 Broadway, Methuen, MA 01844 | 2006-02-07 |
| 1902356306 | Md Consultants, Inc | Clinic/Center | 413 Broadway, Suite B, Methuen, MA 01844-2062 | 2016-10-10 |
| 1710191481 | Brett Lombardi | Physical Therapist | 413 Broadway, Partners In Rehab, Methuen, MA 01844-2022 | 2007-05-10 |
| 1225158405 | Pediatric Professional Associates, PC | Specialist | 413 Broadway, Methuen, MA 01844-2022 | 2007-03-30 |
| 1144292616 | Richard Laspina | Pediatrics | 413 Broadway, Methuen, MA 01844 | 2006-02-07 |
| 1215909783 | Sherrill A Davis | Pediatrics | 413 Broadway, Methuen, MA 01844 | 2006-02-07 |
| 1588636112 | Lawrence M Lerman | Pediatrics | 413 Broadway, Methuen, MA 01844 | 2006-02-07 |
| 1922070499 | Marilyn L Cormier | Nurse Practitioner | 413 Broadway, Methuen, MA 01844 | 2006-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093313629 | Claude Zeligou | Behavior Technician | Guy Lougbo, 26 Loring Road, Methuan, MA 01844 | 2020-10-15 |
| 1265938609 | Angely Martinez | Student in an Organized Health Care Education/Training Program | 28 Kirk Street, Methuen, MA 01844 | 2018-04-04 |
| 1073037909 | Lauren Boenitz | Physical Therapy Assistant | 318 1/2 Broadway, Methuen, MA 01844 | 2017-08-02 |
| 1821512229 | Janice Marie Benoit | Registered Nurse | 12 Ingales Court, M, Methuen, MA 01844 | 2017-07-28 |
| 1194266825 | Zuri Counseling Services LLC | Nurse Practitioner | 39 Haverhill Street, Methuen, MA 01844 | 2017-03-14 |
| 1740732775 | Florinda Delarosa | Assistant Behavior Analyst | 106 North Lowell St, Methuen, MA 01844 | 2016-10-25 |
| 1376094888 | Kristan Mazaka | Social Worker | 19 1/2 Mystic Street, Methuen, MA 01844 | 2016-10-19 |
| 1013365394 | Diana Echeverry | Counselor | 271 Broadway St. Apartment 7, Methuen, MA 01844 | 2016-05-27 |
| 1104283944 | Danielle Lee Lambert | Counselor | 100a Haverhill St., Methuen, MA 01844 | 2016-01-25 |
| 1265839443 | Josef Peter Kish | Counselor | 100a Haverhill Street, Metheun, MA 01844 | 2014-12-03 |
| Find all providers in zip 01844 | ||||
| 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 |
|---|---|---|---|---|
| 1841789468 | Tiffany Juliana Lewis | Dentist | 413 Broadway Ste B, Methuen, MA 01844-2062 | 2018-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437784378 | Braintree Dentistry and Braces PC | Dentist | 292 Grove St, Braintree, MA 02184-7209 | 2020-03-11 |
| 1326672791 | Azza Ahmed | Dentist | 635 Albany St. G-744, Boston, MA 02118 | 2020-02-25 |
| 1215575311 | Martha Forero | Dentist | 1 Kneeland St Fl 15, Boston, MA 02111-1527 | 2019-12-19 |
| 1215574694 | Nistar Pediatric Dentistry Pllc | Dentist | 76 Merrimack St Ste 8a, Haverhill, MA 01830-6246 | 2019-12-05 |
| 1952968729 | Hampshire Meadow Family & Pediatric Dentistry | Dentist | 207 Russell St Apt 18, Hadley, MA 01035-5907 | 2019-05-28 |
| 1801352661 | Lavoie Pediatric Dentistry | Dentist | 2200 Gar Hwy Ste 2, Swansea, MA 02777-3935 | 2019-02-18 |
| 1790254845 | Somerville Pediatric Dentistry and Orthodontics | Dentist | 51 Cross St, Somerville, MA 02145-3244 | 2018-11-19 |
| 1730660903 | Matthew Brian Harper | Dentist | 300 Longwood Ave Fl 4, Boston, MA 02115-5724 | 2018-08-27 |
| 1891286316 | Azadeh Sajjadi | Dentist | 29 Angela Ln, Watertown, MA 02472-1734 | 2018-05-21 |
| 1700387453 | Dorchester Pediatric Dentistry and Orthodontics, PC | Dentist | 1192 Blue Hill Ave Unit 1192, Boston, MA 02126-1819 | 2018-02-27 |
| 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.