Robillard Dental, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN21339 Issued in MA

Legal business name

ROBILLARD DENTAL, LLC

Practice address

19 Hammatt St
Ipswich, MA 01938-1930

Phone

(978) 356-3922

NPI assigned

Aug 15, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Jason Douglas Robiullard, DMD

Title

Member

Phone

(617) 359-3427

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1471219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471219200000",
    "number": "1083169429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 EMILY LN",
            "city": "ROWLEY",
            "state": "MA",
            "postal_code": "019692235",
            "telephone_number": "617-359-3427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 HAMMATT ST",
            "city": "IPSWICH",
            "state": "MA",
            "postal_code": "019381930",
            "telephone_number": "978-356-3922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBILLARD DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-15",
        "last_updated": "2016-08-15",
        "status": "A",
        "authorized_official_last_name": "ROBIULLARD",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "617-359-3427",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN21339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Elizabeth Prince
• Andrew J Pszenny, PHARMD, RPH
• Kelsey Rees, LICSW
• Michael J Riccio, DMD
• Erinn Ridge
• Gregory Rodrigues
• Joel J Rogge, ED.D.
• Rachael M Ruiz, RN
• Kelly Gravino Russell, LICSW
• Richard Scott Russell, LICSW

• General Practice Dentistry in Ipswich, MA
• Providers in Ipswich, 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 15, 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.