CHARLTON FAMILY DENTAL PC (NPI# 1902313505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902313505 |
| Entity Type | Organization |
| Organization Name | CHARLTON FAMILY DENTAL PC |
| Practice Address |
159b Worcester Rd Charlton MA 01507-1243 |
| Mailing Address |
28 Powder Hill Rd Bolton MA 01740-1083 |
| Practice Telephone | 9786342031 |
| Mailing Telephone | 9783652463 |
| Enumeration Date | 2018-01-04 |
| Last Update Date | 2018-01-04 |
| Authorized Official Name | DR. MAHEEN ISHAQ (PRESIDENT) |
| Authorized Official Telephone | 9783652463 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN22339 | MA | Dental Providers |
| Street Address |
159B WORCESTER RD |
| City | CHARLTON |
| State | MA |
| Zip Code | 01507-1243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477179653 | Lissette Hernandez | Counselor | 159 C Worcester Road, Charlton, MA 01507 | 2020-06-23 |
| 1841657426 | Renee M Gomez-chlebica Od LLC | Optometrist | 109-6 Masonic Home Rd., Charlton, MA 01507 | 2016-01-27 |
| 1467728725 | Rebecca Bullock | Occupational Therapist | 11 Sunset Drive, Charlton, MA 01507 | 2012-03-30 |
| 1326347139 | Michelle Beshire | Pharmacist | 188 Center Depot Rd, Charlton, MA 01507 | 2011-03-18 |
| 1063710762 | Daniel R Tetreault | Specialist/Technologist | 70 Hanson Road, Charlton, MA 01507 | 2011-03-03 |
| 1508901828 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 142 Worcester Rd, Charlton, MA 01507 | 2007-02-21 |
| 1780727743 | Peter Maly | Technician/Technologist | 109-6 Masonic Home Road, Charlton, MA 01507 | 2007-02-15 |
| 1083680128 | Mary-elise Smith | Emergency Medicine | 10 North Main Street, Charlton, MA 01507 | 2006-02-28 |
| 1932183241 | Steven V Vachula II | Optometrist | 20 Southbridge Rd, Charlton, MA 01507 | 2005-11-30 |
| 1154304228 | Teddi Bachawaty | Obstetrics & Gynecology | 9 Trolley Crossing Rd, Charlton, MA 01507 | 2005-11-22 |
| Find all providers in zip 01507 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083213821 | Rebekah Collins | Dentist | 95 University Ave Unit 2232, Westwood, MA 02090-2379 | 2020-10-22 |
| 1902405202 | Robert Marc Grassi | Dentist | 18 Sussex Rd, Winchester, MA 01890-3849 | 2020-10-19 |
| 1558968784 | Francina Alvarez Noboa | Dentist | 700 Huron Ave Apt 15m, Cambridge, MA 02138-4590 | 2020-10-01 |
| 1447867692 | Anisha Sharma | Dentist | 50 Malden St Apt 611, Boston, MA 02118-2894 | 2020-09-30 |
| 1548877897 | Alexandra Gilbert | Dentist | 15 Williams St, Beverly, MA 01915-2323 | 2020-09-29 |
| 1639785777 | Spring Hill Dental | Dentist | 174 Highland Ave Ste 1, Somerville, MA 02143-1546 | 2020-09-22 |
| 1174139703 | Ervin Pejo | Dentist | 824 William S Canning Blvd A, Fall River, MA 02721 | 2020-09-18 |
| 1497360572 | Nivedhitha Ramesh | Dentist | 715 Albany St # 437, Boston, MA 02118-2526 | 2020-09-15 |
| 1346854718 | Barbara A Lawnicki Dmd PC | Dentist | 1068 Massachusetts Ave, Arlington, MA 02476-4311 | 2020-09-03 |
| 1720699556 | Kanza Tauqir | Dentist | 41 North Rd Ste 207, Bedford, MA 01730-1037 | 2020-08-14 |
| 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.