Family Dental Group

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

18827 Issued in MA

Legal business name

FAMILY DENTAL GROUP

Practice address

276 Turnpike Rd
Suite 226
Westboro, MA 01581

Phone

(508) 366-7450

Fax

(508) 366-7475

NPI assigned

Aug 4, 2006

Last updated

Aug 11, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mustafa Ahed Khalil, DMD

Title

Owner

Phone

(508) 366-7450

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218412800000",
    "number": "1043228976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "276 TURNPIKE RD",
            "address_2": "SUITE 226",
            "city": "WESTBORO",
            "state": "MA",
            "postal_code": "01581",
            "telephone_number": "508-366-7450",
            "fax_number": "508-366-7475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "276 TURNPIKE RD",
            "address_2": "SUITE 226",
            "city": "WESTBORO",
            "state": "MA",
            "postal_code": "01581",
            "telephone_number": "508-366-7450",
            "fax_number": "508-366-7475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2008-08-11",
        "status": "A",
        "authorized_official_last_name": "KHALIL",
        "authorized_official_first_name": "MUSTAFA",
        "authorized_official_middle_name": "AHED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-366-7450",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "18827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy J Brace, OT
• Jean Breen
• Philip Leroy Curtin, LICSW
• Department of Mental Health
• Diana Marie Durr, LICSW
• Daniel Joseph Fanselow, D.C.
• Jonathan Rothman MD (Psychiatry & Counseling Associates)
• John Michael Kane, COTA,L
• Sandra V Kristiansen, M.D.
• Stephen Larose, PA-C

• General Practice Dentistry in Westboro, MA
• Providers in Westboro, 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 Aug 11, 2008; 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.