NPIMap

Organization Active NPI

Amg Dental Group PC

Doing business as Advanced dental care of Falmouth

  • General Practice Dentistry
  • Falmouth, MA
National Provider Identifier
1053847426
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN1856674 Issued in MA
Legal business name
AMG DENTAL GROUP PC
Doing business as
Advanced dental care of Falmouth
Practice address
303 Dillingham Ave Ste a
Falmouth, MA 02540-3376
Phone
(508) 548-5028
NPI assigned
May 4, 2017
Last updated
Dec 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Authorized official

Name
Dr. Abdul-Rahman Addas, D.M.D
Title
General Dentist
Phone
(513) 560-0858

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X DN21001 MA
General Practice Dentistry 1223G0001X DN1856674 MA Primary
Periodontics 1223P0300X DN18265 MA
Prosthodontics 1223P0700X DN21722 MA

Addresses

Primary practice location

303 Dillingham Ave Ste a
Falmouth, MA 02540-3376

Mailing address

245 Jones Rd
Falmouth, MA 02540-2944

Other names 1

  • Advanced dental care of Falmouth Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Amg Dental Group PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

303 Dillingham Ave
Ste A
Falmouth, MA 02540
Phone (508) 548-5028

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1493856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733702400000",
    "number": "1053847426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 JONES RD",
            "city": "FALMOUTH",
            "state": "MA",
            "postal_code": "025402944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 DILLINGHAM AVE STE A",
            "city": "FALMOUTH",
            "state": "MA",
            "postal_code": "025403376",
            "telephone_number": "508-548-5028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMG DENTAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-04",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A",
        "authorized_official_last_name": "ADDAS",
        "authorized_official_first_name": "ABDUL-RAHMAN",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "513-560-0858",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "MA",
            "license": "DN21001",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1856674",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MA",
            "license": "DN18265",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "MA",
            "license": "DN21722",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced dental care of Falmouth",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Falmouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; 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.