MASS AVE PERIO (NPI# 1841831443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841831443 |
| Entity Type | Organization |
| Organization Name | MASS AVE PERIO |
| Practice Address |
355 Massachusetts Ave Arlington MA 02474-6719 |
| Mailing Address |
355 Mass Ave Arlington MA 02474-6719 |
| Practice Telephone | 6178727023 |
| Mailing Telephone | 6178727023 |
| Enumeration Date | 2019-10-04 |
| Last Update Date | 2019-10-04 |
| Authorized Official Name | DR. SARAH COURTNEY (OWNER, MANAGER) |
| Authorized Official Telephone | 6178727023 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
Dental Providers |
| Street Address |
355 MASSACHUSETTS AVE |
| City | ARLINGTON |
| State | MA |
| Zip Code | 02474-6719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891174629 | Sarah Courtney | Dentist | 355 Massachusetts Ave, Arlington, MA 02474-6719 | 2015-05-26 |
| 1609058577 | Andrew James Delima | Dentist | 355 Massachusetts Ave, Arlington, MA 02474-6719 | 2007-12-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427531896 | Carole Caruso | Social Worker | 7 Victoria Rd, Arlington, MA 02474 | 2018-09-12 |
| 1336657915 | Michelle Fournier | Counselor | 406 Massachusetts Avenue, Arlington, MA 02474 | 2018-01-17 |
| 1487183844 | Paula Lambertson | Occupational Therapist | 49 Marathon St, Arlington, MA 02474 | 2017-06-08 |
| 1417486804 | Caitlin Lauria | Behavior Technician | 385 Massachusetts Ave Apt #66, Arlington, MA 02474 | 2017-06-08 |
| 1477093003 | Nicole Sinopoli Fein | Social Worker | 226 Massachusettes Ave, Arlington, MA 02474 | 2017-03-01 |
| 1114384955 | Basheila Purdie | Social Worker | 339 Massachusettes Avenue, Arlington, MA 02474 | 2016-01-25 |
| 1760889158 | Justin Martinez | Occupational Therapist | 7 Huntington Rd, Arlington, MA 02474 | 2014-12-01 |
| 1194120972 | Ann Murray | Massage Therapist | 9 Chestnut Street, Arlington, MA 02474 | 2014-10-23 |
| 1437573417 | Elizabeth Noel Kehrli | Physical Therapist | 1 Symmes Road, Arlington, MA 02474 | 2014-02-11 |
| 1568738292 | Ellenhorn LLC | Psychiatry & Neurology | 406 Masschusetts Avenue, Arlington, MA 02474 | 2012-03-27 |
| Find all providers in zip 02474 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053796706 | Pooria Fallah Abed | Dentist | 800 W Arbrook Blvd Ste 360, Arlington, TX 76015-4317 | 2015-07-23 |
| 1750765061 | Alan Elie Jureidini | Dentist | 900 N Stuart St, Apt 1618, Arlington, VA 22203-4101 | 2015-07-16 |
| 1528318714 | Marjan Adami | Dentist | 2200 Woodland Oaks Dr, Arlington, TX 76013-5319 | 2012-09-14 |
| 1619163144 | John Charles Paris | Dentist | 3825 W Green Oaks Blvd, Suite 800, Arlington, TX 76016-2796 | 2007-09-18 |
| 1902096761 | Joaquin M Perez-febles | Dentist | 2800 N 10th St, Arlington, VA 22201 | 2007-07-27 |
| 1366502494 | Leonard S Tibbetts | Dentist | 916 W Mitchell St, Arlington, TX 76013-2537 | 2006-12-11 |
| 1598838716 | John Pannill Hastings | Dentist | 903c Medical Centre Dr, Arlington, TX 76012 | 2006-11-16 |
| 1497775050 | Annie M Amsalem | Dentist | 22 Mill St Ste 104, Arlington, MA 02476-4738 | 2006-07-19 |
| 1407401458 | Sajjad Ashnagar | Dentist | 800 W Arbrook Blvd Ste 360, Arlington, TX 76015-4317 | 2019-08-06 |
| 1912161704 | Michael Colasanto | Dentist | 3801 N Fairfax Dr, #51, Arlington, VA 22203-1702 | 2008-07-11 |
| Find all providers in ARLINGTON | ||||
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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.