Dennis B Wall DMD PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

17147 Issued in MA

Legal business name

DENNIS B WALL DMD PC

Practice address

47 Pleasant St
Winchendon, MA 01475-1618

Phone

(978) 297-1050

NPI assigned

Aug 29, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Yamin, DMD

Title

Dental Director

Phone

(978) 534-0173

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1377734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377734400000",
    "number": "1013341791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 PLEASANT ST",
            "city": "WINCHENDON",
            "state": "MA",
            "postal_code": "014751618",
            "telephone_number": "978-297-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 PLEASANT ST",
            "city": "WINCHENDON",
            "state": "MA",
            "postal_code": "014751618",
            "telephone_number": "978-297-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENNIS B WALL DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-29",
        "last_updated": "2013-08-29",
        "status": "A",
        "authorized_official_last_name": "YAMIN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "DENTAL DIRECTOR",
        "authorized_official_telephone_number": "978-534-0173",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MA",
            "license": "17147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Winchendon, MA
• Providers in Winchendon, MA by specialty
• Dental Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2013; 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.