Pediatric&Family Dentistry of Woburn

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

PEDIATRIC&FAMILY DENTISTRY OF WOBURN

Practice address

7 Alfred St
Suite 210
Woburn, MA 01801-1976

Phone

(781) 933-8380

NPI assigned

Mar 18, 2009

Organization subpart

No

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

Authorized official

Name

Patricia Buckley

Title

Office Manager

Phone

(781) 933-8380

Specialties & licenses 2

Addresses

Other identifiers 1

Tax ID family

Pediatric and Family Dentistry of Woburn2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Rosario Z Agular

  • Pediatric Dentistry
  • Woburn, MA
  • NPI 1487859062
  NPD tax ID

Locations

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

{
    "created_epoch": "1237334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237334400000",
    "number": "1043451289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 ALFRED ST",
            "address_2": "SUITE 210",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018011976",
            "telephone_number": "781-933-8380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 ALFRED ST",
            "address_2": "SUITE 210",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018011976",
            "telephone_number": "781-933-8380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC&FAMILY DENTISTRY OF WOBURN",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-18",
        "last_updated": "2009-03-18",
        "status": "A",
        "authorized_official_last_name": "BUCKLEY",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "781-933-8380"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9768726",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Paynter, PTA
• Pca in Pediatric Primary Care LLC
• Pca in Primary Care LLC
• Dennis Peary, OTD, OTR/L
• Tara Pede
• Amanda Pedicini, WHNP-BC
• Florence Pelissier, COTA
• Scott Pelletier
• Maria Pelosi
• Staci Pendergast, M.ED. CCC-SLP

• Pediatric Dentistry in Woburn, MA
• Providers in Woburn, MA by specialty
• Pediatric Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2009; 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.