Watertown Family Dental PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

WATERTOWN FAMILY DENTAL PC

Practice address

190 Mount Auburn St
Watertown, MA 02472-4046

Phone

(617) 923-0233

NPI assigned

Mar 23, 2017

Organization subpart

No

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

Authorized official

Name

Perichole Lyn Eilers Furgal, DDS

Title

Owner

Phone

(617) 923-0233

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1490227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490227200000",
    "number": "1033640883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 MOUNT AUBURN ST",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024724046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 MOUNT AUBURN ST",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024724046",
            "telephone_number": "617-923-0233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERTOWN FAMILY DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-23",
        "last_updated": "2017-03-23",
        "status": "A",
        "authorized_official_last_name": "EILERS FURGAL",
        "authorized_official_first_name": "PERICHOLE",
        "authorized_official_middle_name": "LYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-923-0233",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Watertown Dental Associates PLLC
• Watertown Dental Center
• Watertown Dentistry
• Watertown Dermatology Associates, LLC
• Watertown Eye Group, Inc.
• Watertown Health Center, LLC
• Watertown Rehabilitation and Nursing Center LLC
• Ellis Weaver, LMHC
• Kevin R Wehmhoefer, LICSW, ACSW
• Larry A Weinrauch, MD

• Dentist in Watertown, MA
• Providers in Watertown, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2017; 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.