Kristine a Grazioso DMD PC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

D18935 Issued in MA

Legal business name

KRISTINE A GRAZIOSO DMD PC

Practice address

223 Route 3a
Suite 102
Cohasset, MA 02025

Phone

(781) 383-0003

Fax

(781) 383-0032

NPI assigned

Sep 27, 2006

Organization subpart

No

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

Authorized official

Name

Kristine A Grazioso, DMD

Title

President Owner

Phone

(781) 383-0003

Specialties & licenses 1

Addresses

Other names 1

• South Shore Childrens Dentistry Doing business as

Practitioners 2

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

• Anne Mullin-Kuczma, D.M.D.

  • Pediatric Dentistry
  • Cohasset, MA
  • NPI 1174763338
  NPD (past)
• Keri A Peterman, D.M.D.

  • Pediatric Dentistry
  • Cohasset, MA
  • NPI 1659531143
  NPD (past)

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053402008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 ROUTE 3A",
            "address_2": "SUITE 102",
            "city": "COHASSET",
            "state": "MA",
            "postal_code": "02025",
            "telephone_number": "781-383-0003",
            "fax_number": "781-383-0032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 ROUTE 3A",
            "address_2": "SUITE 102",
            "city": "COHASSET",
            "state": "MA",
            "postal_code": "02025",
            "telephone_number": "781-383-0003",
            "fax_number": "781-383-0032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTINE A GRAZIOSO DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRAZIOSO",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "781-383-0003",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MA",
            "license": "D18935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Shore Childrens Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Alexis Morvant Klock, M.D.
• Patricia M Koziel, FNP
• Lisa Eve Lewis, D.C.
• Olivia Rose Lewis
• Lieb Counseling and Psychotherapy
• Keerstin Lohnes, NP
• Long Haul Physical Therapy LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.