Fitchburgh Dentistry and Braces PC

Primary specialty

Point of ServiceTaxonomy code 305S00000X

Legal business name

FITCHBURGH DENTISTRY AND BRACES PC

Practice address

505 John Fitch Hwy
Fitchburg, MA 01420-8403

Phone

(508) 460-0632

NPI assigned

Oct 21, 2016

Organization subpart

No

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

Authorized official

Name

Joanne Tavano

Title

Chief Operating Officer

Phone

(978) 580-1524

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1477008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477008000000",
    "number": "1063963353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 MOUNT ROYAL AVE",
            "address_2": "SUITE 300",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017521981",
            "telephone_number": "508-460-0632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 JOHN FITCH HWY",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014208403",
            "telephone_number": "508-460-0632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FITCHBURGH DENTISTRY AND BRACES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-21",
        "last_updated": "2016-10-21",
        "status": "A",
        "authorized_official_last_name": "TAVANO",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "978-580-1524"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fitchburg Rehabilitation and Nursing Center LLC
• Fitchburg Smiles
• Fitchburg Smiles, PLLC
• Fitchburg State College- Health Services
• Fitchburg Transportation LLC
• Kelsey Renee Fithen, MA
• Katelyn Fitzgerald
• Kelly Fitzgerald
• Tara Fitzpatrick
• Annette Fleurant

• Point of Service in Fitchburg, MA
• Providers in Fitchburg, MA by specialty
• Point of Service in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2016; 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.