Organization Active NPI

TNT Dental Care

  • Dentist
  • Watertown, MA
National Provider Identifier
1013218411
Registry record updated Nov 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
21400 Issued in MA
Legal business name
TNT DENTAL CARE
Practice address
230 Main St
Watertown, MA 02472-4301
Phone
(617) 923-0088
Fax
(617) 926-2598
NPI assigned
Nov 16, 2010
Last updated
Nov 16, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2010

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

Authorized official

Name
Dr. Tracey Phuong Lai, DMD
Title
Owner
Phone
(617) 923-0088

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 21400 MA Primary

Addresses

Primary practice location

230 Main St
Watertown, MA 02472-4301

Mailing address

230 Main St
Watertown, MA 02472-4301
Phone (617) 923-0088

National Provider Directory

National Provider Directory

Locations

230 Main St
Watertown, MA 02472
Phone (617) 923-0088

NPI Registry JSON

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

{
    "created_epoch": "1289865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289865600000",
    "number": "1013218411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 MAIN ST",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024724301",
            "telephone_number": "617-923-0088",
            "fax_number": "617-926-2598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 MAIN ST",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024724301",
            "telephone_number": "617-923-0088",
            "fax_number": "617-926-2598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TNT DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-16",
        "last_updated": "2010-11-16",
        "status": "A",
        "authorized_official_last_name": "LAI",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_middle_name": "PHUONG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-923-0088",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MA",
            "license": "21400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.