NPIMap

Organization Active NPI

Pediatric Dental Care of Wilmington, LLC

  • Pediatric Dentistry
  • Wilmington, MA
National Provider Identifier
1033515549
Registry record updated Jan 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DN1855705 Issued in MA
Legal business name
PEDIATRIC DENTAL CARE OF WILMINGTON, LLC
Practice address
213 Main St
Wilmington, MA 01887-2302
Phone
(978) 694-4100
Fax
(978) 694-4112
NPI assigned
Nov 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2015

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

Authorized official

Name
Dr. Marcy Gabrilowitz, DMDNPI 1821381765
Title
Owner
Phone
(978) 694-4100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X DN1855705 MA Primary

Addresses

Primary practice location

213 Main St
Wilmington, MA 01887-2302

Mailing address

213 Main St
Wilmington, MA 01887-2302
Phone (978) 694-4100

National Provider Directory

National Provider Directory

Locations

213 Main St
Wilmington, MA 01887

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1415577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422316800000",
    "number": "1033515549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 MAIN ST",
            "city": "WILMINGTON",
            "state": "MA",
            "postal_code": "018872302",
            "telephone_number": "978-694-4100",
            "fax_number": "978-694-4112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 MAIN ST",
            "city": "WILMINGTON",
            "state": "MA",
            "postal_code": "018872302",
            "telephone_number": "978-694-4100",
            "fax_number": "978-694-4112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC DENTAL CARE OF WILMINGTON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-10",
        "last_updated": "2015-01-27",
        "status": "A",
        "authorized_official_last_name": "GABRILOWITZ",
        "authorized_official_first_name": "MARCY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-694-4100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MA",
            "license": "DN1855705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2015; 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.