North Shore Smile Center PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

NORTH SHORE SMILE CENTER PLLC

Practice address

128 Burrill St
Swampscott, MA 01907-1808

Phone

(781) 552-0814

NPI assigned

Aug 7, 2026

Organization subpart

No

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

Authorized official

Name

Chad Hendricks

Title

Credentialing

Phone

(612) 859-0444

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1786060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786060800000",
    "number": "1063336444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 BURRILL ST",
            "city": "SWAMPSCOTT",
            "state": "MA",
            "postal_code": "019071808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 BURRILL ST",
            "city": "SWAMPSCOTT",
            "state": "MA",
            "postal_code": "019071808",
            "telephone_number": "781-552-0814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE SMILE CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-07",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A",
        "authorized_official_last_name": "HENDRICKS",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "612-859-0444"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pameal Claire Mulvey
• Gerald Nastasia Jr., D.C.
• Keith C Nobil, MD
• Viviane Nogarotto I
• North Shore Center for Cosmetic Dentistry, Inc
• North Shore Smiles LLC
• Northeast Radiology Associates, LLP
• Nutrition Harmony LLC
• Angela G. O'Brien, D.C.
• Oceanside Dental Associates, P.C.

• General Practice Dentistry in Swampscott, MA
• Providers in Swampscott, 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 7, 2026; 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.