Newburyport Dental Group LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

NEWBURYPORT DENTAL GROUP LLC

Practice address

1 Inn St Apt 4
Newburyport, MA 01950-2557

Phone

(978) 462-2530

NPI assigned

Aug 13, 2018

Last updated

Aug 13, 2018By 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

Richard Todd Miller, DMD

Title

President

Phone

(781) 562-0457

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1534118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534118400000",
    "number": "1053890780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 CHAPMAN ST UNIT 201",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020212040",
            "telephone_number": "781-562-0457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 INN ST APT 4",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019502557",
            "telephone_number": "978-462-2530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWBURYPORT DENTAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-13",
        "last_updated": "2018-08-13",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-562-0457",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Newbueyport Pediatrics,Inc.
• Newburyport Board of Health
• Newburyport Cardiovascular Associates, LLC (Clipper Cardiovascular Associates)
• Newburyport Dental Associates PC
• Newburyport Dental Care and Implant Center
• Newburyport Dental Team , PC (Kuljic,DDS&Team)
• Newburyport Dental Team, PC
• Newburyport Emergency Physicians, PLLC
• Newburyport Family Dental LLC
• Newburyport Family Practice,P.C.

• Dentist in Newburyport, MA
• Providers in Newburyport, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2018; 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.