Dental Dynamics PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN20544 Issued in MA

Legal business name

DENTAL DYNAMICS PC

Practice address

1110 N Main St
Randolph, MA 02368-2132

Phone

(781) 963-9200

NPI assigned

Oct 29, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Carlos Joo, D.M.D

Title

President

Phone

(781) 963-9200

Specialties & licenses 1

Addresses

Practitioners 1

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

• Fiona Andrea, D.M.D.

  • General Practice Dentistry
  • Randolph, MA
  • NPI 1215247564
  NPD (past)

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

{
    "created_epoch": "1288310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288310400000",
    "number": "1033419668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 GARFIELD ST",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021694114",
            "telephone_number": "617-472-2143",
            "fax_number": "617-472-2143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 N MAIN ST",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023682132",
            "telephone_number": "781-963-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL DYNAMICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-29",
        "last_updated": "2010-10-29",
        "status": "A",
        "authorized_official_last_name": "JOO",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-963-9200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN20544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Romulda Delorme, RN
• Caitlin Demedeiros
• Peter Ioannis Demestihas, RPH
• Denise K Snow Williams OD PC
• Dental Associates Randolph
• Dental Specialties Inc
• Ann-Marie Denton, LMHC
• Nadine Vieira Depina
• Nancy Depina
• Edwige F Derival

• General Practice Dentistry in Randolph, MA
• Providers in Randolph, 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 Oct 29, 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.