Atlantis Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

18645 Issued in MA

Legal business name

ATLANTIS DENTAL LLC

Practice address

118 Concord St
Framingham, MA 01702-8304

Phone

(508) 270-5050

Fax

(508) 270-5060

NPI assigned

Jan 29, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Boris Lipovetskiy, D.M.D.

Title

Dentist

Phone

(508) 270-5050

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003952839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 CONCORD ST",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017028304",
            "telephone_number": "508-270-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 CONCORD ST",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017028304",
            "telephone_number": "508-270-5050",
            "fax_number": "508-270-5060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIS DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LIPOVETSKIY",
        "authorized_official_first_name": "BORIS",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "508-270-5050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "18645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ID",
            "identifier": "X12129",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shahla Asvadi, MD
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• Ornina Atieh, MD
• Atlantic Dental of Framingham
• Atlantic Dental Partners of Framingham, LLC
• Jessica Atwood, MH COUNSELOR
• Amara Grace Audette
• Saint George T Aufranc II, MD
• Jennifer Auguste
• Robby Auld, LMHC

• General Practice Dentistry in Framingham, MA
• Providers in Framingham, 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 Aug 22, 2020; 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.