West Roxbury Dental Arts

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

21395 Issued in MA

Legal business name

WEST ROXBURY DENTAL ARTS

Practice address

1811 Centre St
West Roxbury, MA 02132-1945

Phone

(617) 323-0080

NPI assigned

Jul 8, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Samer Ramadan

Title

Director

Phone

(617) 323-0080

Specialties & licenses 3

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1278547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278547200000",
    "number": "1003128927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 CENTRE ST",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "021321945",
            "telephone_number": "617-323-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 CENTRE ST",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "021321945",
            "telephone_number": "617-323-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST ROXBURY DENTAL ARTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-08",
        "last_updated": "2010-07-08",
        "status": "A",
        "authorized_official_last_name": "RAMADAN",
        "authorized_official_first_name": "SAMER",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "617-323-0080",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "21395",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "15388",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "1855474",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Washington Healthcare LLC
• Gabriella Antionette Watson, OD
• Ebony Weathers
• Kyle Weaver
• Wellspring Mentors LLC
• West Roxbury Modern Dentistry, PC
• Jennifer Lauren Weston, CCC-SLP
• Noah M Whiddon, LMSW
• Jacqueline White
• Julie C White, NP

• General Practice Dentistry in West Roxbury, MA
• Providers in West Roxbury, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.