MIDDLESEX ADVANCED COSMETIC DENTISTRY, LLC (NPI# 1871987743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871987743 |
Entity Type | Organization |
Organization Name | MIDDLESEX ADVANCED COSMETIC DENTISTRY, LLC |
Practice Address |
955 Main St Suite 111 Winchester MA 01890-1961 |
Practice Telephone | 7817219900 |
Practice Fax Number | 7817219902 |
Mailing Telephone | 7817219900 |
Mailing Fax Number | 7817219902 |
Enumeration Date | 2015-03-27 |
Last Update Date | 2015-03-27 |
Authorized Official Name | DR. SOPHANA HEM (OWNER) |
Authorized Official Telephone | 7817219900 |
Authorized Official Credential | DMD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QD0000X |
Clinic/Center Specialization: Dental |
DN22273 | MA | Ambulatory Health Care Facilities |
Street Address |
955 MAIN ST SUITE 111 |
City | WINCHESTER |
State | MA |
Zip Code | 01890-1961 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194723593 | Stefanie Lynne Delaney | Physician Assistant | 955 Main St, Suite G6, Winchester, MA 01890-1961 | 2005-07-08 |
1295290500 | Nina Barone | Physical Therapist | 955 Main St, Winchester, MA 01890-1961 | 2019-01-31 |
1083110753 | Alexandria Mcgovern | Physician Assistant | 955 Main St, Winchester, MA 01890-1961 | 2018-04-02 |
1598204281 | Msa Whpho, LLC | Surgery | 955 Main St, Suite G2a, Winchester, MA 01890-1961 | 2017-02-15 |
1770936049 | Shapur Ameri | Specialist | 955 Main St, Suite 305, Winchester, MA 01890-1961 | 2016-07-21 |
1750730776 | Fiorillo Dentistry PC | Dentist | 955 Main St, Suite 205, Winchester, MA 01890-1961 | 2016-06-09 |
1033563960 | Robert J Obrien Jr, Md and Associates PC | Specialist | 955 Main St, Suite G6, Winchester, MA 01890-1961 | 2016-04-18 |
1619383247 | Sean Amir Ghassem-zadeh | Dentist | 955 Main St, Winchester, MA 01890-1961 | 2014-07-03 |
1043620032 | Stephanie Marie Baj | Audiologist | 955 Main St, Suite 306, Winchester, MA 01890-1961 | 2014-04-30 |
1265861298 | Winchester Physician Associates | Internal Medicine | 955 Main St, Suite 301, Winchester, MA 01890-1961 | 2013-11-12 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821516436 | Emily Elizabeth Blake | Dietitian, Registered | 107 Cross St Unit A, Winchester, MA 01890 | 2017-09-03 |
1750838272 | Barbara Messineo Md Othopedic Surgery and Sports Medicine | Specialist | 8 Winchester Place, Ste 102, Winchester, MA 01890 | 2016-09-01 |
1710235007 | Nicole Tara Dieuseul | Social Worker | 80 Skillings Rd, Winchester, MA 01890 | 2012-08-17 |
1043589609 | Karen Marie Caputo | Social Worker | 0 Ledgewood Road, Winchester, MA 01890 | 2011-12-27 |
1902110695 | Kyla Malone | Nurse Practitioner | 1021 Main St Ste 102, Winchester, MA 01890 | 2010-08-05 |
1073843694 | New England Pain Associates, PC | Clinic/Center | 10 Converse Place 4th Floor, Winchester, MA 01890 | 2010-01-04 |
1235304528 | Asthma & Allergy Specialists, PC | Clinic/Center | 955 Main St, Ste G-3, Suite G-3, Winchester, MA 01890 | 2008-04-28 |
1184742165 | Constance C Rosenberger | Registered Nurse | 49 Cabot St, Winchester, MA 01890 | 2007-03-27 |
1225164817 | Susana Cheng Lee | Social Worker | 17 Socrates Way, Winchester, MA 01890 | 2007-02-26 |
1538294517 | Joan M Hodges | Social Worker | 898 Main Street, Marcus Associates, Winchester, MA 01890 | 2007-02-22 |
Find all providers in zip 01890 |
Taxonomy Code | 261QD0000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Dental |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699396440 | Arrow Dental Pllc | Clinic/Center | 2560 Bypass Rd Ste 2, Winchester, KY 40391-2387 | 2020-05-04 |
1689146334 | Radwa M Sobieh Dds Pllc | Clinic/Center | 650 Cedar Creek Grade Ste 205, Winchester, VA 22601-6454 | 2018-12-19 |
1235605403 | Si-hyeon Lee, Dmd, PC | Clinic/Center | 381 Gateway Dr Ste 9, Winchester, VA 22603-5852 | 2018-10-15 |
1720560543 | Nabil R. Ibrahim B.d.s., D.d.s., Pllc | Clinic/Center | 10 Converse Pl Ste 102, Winchester, MA 01890-2713 | 2018-08-29 |
1659878007 | United Dental Arts Pllc | Clinic/Center | 615 E Jubal Early Dr, Winchester, VA 22601-5178 | 2018-04-11 |
1255796504 | Wnchester Dental Center | Clinic/Center | 160 Rivendell Ct, #7, Winchester, VA 22603-8657 | 2015-12-30 |
1932279262 | J Todd Scobee Dmd Psc | Clinic/Center | 1216 West Lexington Ave, Winchester, KY 40391 | 2006-11-08 |
1689296139 | Arrow Dental Pllc | Clinic/Center | 2560 Bypass Rd Ste 2, Winchester, KY 40391-2387 | 2020-05-07 |
1568820702 | Smiles of Virginia Family Dental Center, Pllc | Clinic/Center | 1220 Amherst St, Winchester, VA 22601-3006 | 2016-02-02 |
1215334545 | Robert D. King, D.d.s. | Clinic/Center | 1220 Amherst St, Winchester, VA 22601-3006 | 2014-12-02 |
Find all providers in WINCHESTER |
City | WINCHESTER |
Zip Code | 01890 |
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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.