NPIMap

Organization Active NPI

Bolton Famiy Dental, LLP

  • Dental Clinic/Center
  • Bolton, MA
National Provider Identifier
1033879101
Registry record updated Dec 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
BOLTON FAMIY DENTAL, LLP
Practice address
737 Main St
Bolton, MA 01740-1215
Phone
(978) 779-6223
Fax
(978) 779-6479
NPI assigned
Dec 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2021

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

Authorized official

Name
Dr. Joanne Marian, DMDNPI 1073623930
Title
Dentist
Phone
(978) 779-6223

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

737 Main St
Bolton, MA 01740-1215

Mailing address

PO Box 309
Bolton, MA 01740-0309
Phone (978) 779-6223

National Provider Directory

National Provider Directory

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": "1640822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640822400000",
    "number": "1033879101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 309",
            "city": "BOLTON",
            "state": "MA",
            "postal_code": "017400309",
            "telephone_number": "978-779-6223",
            "fax_number": "978-779-6479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "737 MAIN ST",
            "city": "BOLTON",
            "state": "MA",
            "postal_code": "017401215",
            "telephone_number": "978-779-6223",
            "fax_number": "978-779-6479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOLTON FAMIY DENTAL, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-30",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A",
        "authorized_official_last_name": "MARIAN",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "978-779-6223",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bolton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2021; 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.