South Hadley Dental Group, LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

SOUTH HADLEY DENTAL GROUP, LLC

Practice address

446 Newton St
South Hadley, MA 01075-2331

Phone

(413) 536-4730

NPI assigned

Jul 19, 2018

Organization subpart

No

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

Authorized official

Name

Richard Todd Miller, DMD

Title

President

Phone

(781) 562-0457

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Howard G Lerner, DDS

  • General Practice Dentistry
  • South Hadley, MA
  • NPI 1699744672
  NPD (past)
• Carl E Petersen, DDS

  • General Practice Dentistry
  • South Hadley, MA
  • NPI 1447229216
  NPD (past)

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

{
    "created_epoch": "1531958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1013493311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 CHAPMAN ST UNIT 201",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020212040",
            "telephone_number": "781-562-0457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "446 NEWTON ST",
            "city": "SOUTH HADLEY",
            "state": "MA",
            "postal_code": "010752331",
            "telephone_number": "413-536-4730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH HADLEY DENTAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-19",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-562-0457",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith Skillings, PSY.D.
• Suzanne E Sloboda, AS ECE, BS SPED, MS
• Robert D Smith, DO
• South Hadley Board of Health
• South Hadley Dental Associates, Inc.
• South Hadley Fire District No. 2
• South Hadley Rehabilitation and Nursing Center LLC
• Stephanie Spock
• Hal Sposato, LCSW, MSW
• Gabrielle Hazel Sprague

• Dentist in South Hadley, MA
• Providers in South Hadley, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; 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.