Organization Active NPI

Advanced Crown Dental P.C.

  • General Practice Dentistry
  • Mansfield, MA
National Provider Identifier
1104287572
Registry record updated Mar 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ADVANCED CROWN DENTAL P.C.
Doing business as
Advanced Mansfield Dental
Practice address
34 N Main St
Mansfield, MA 02048-2230
Phone
(781) 326-0026
Fax
(508) 909-0503
NPI assigned
Mar 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2016

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

Authorized official

Name
Tuan DO, D.D.S
Title
Owner/Dentist
Phone
(781) 326-0026

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

34 N Main St
Mansfield, MA 02048-2230

Mailing address

34 N Main St
Mansfield, MA 02048-2230
Phone (781) 326-0026

Other names 1

  • Advanced Mansfield Dental Doing business as

National Provider Directory

National Provider Directory

Locations

34 N Main St
Mansfield, MA 02048
Phone (508) 964-0411

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1457913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457913600000",
    "number": "1104287572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 N MAIN ST",
            "city": "MANSFIELD",
            "state": "MA",
            "postal_code": "020482230",
            "telephone_number": "781-326-0026",
            "fax_number": "508-909-0503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 N MAIN ST",
            "city": "MANSFIELD",
            "state": "MA",
            "postal_code": "020482230",
            "telephone_number": "781-326-0026",
            "fax_number": "508-909-0503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED CROWN DENTAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-14",
        "last_updated": "2016-03-14",
        "status": "A",
        "authorized_official_last_name": "DO",
        "authorized_official_first_name": "TUAN",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "781-326-0026",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Mansfield Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mansfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.