Organization Active NPI

Scituate Family Dental, PC

  • General Practice Dentistry
  • Scituate, MA
National Provider Identifier
1104290758
Registry record updated Nov 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN22290 Issued in MA
Legal business name
SCITUATE FAMILY DENTAL, PC
Practice address
56 New Driftway
Suite 205
Scituate, MA 02066-4533
Phone
(781) 545-3703
Fax
(781) 545-0772
NPI assigned
Nov 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2015

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

Authorized official

Name
Dr. Abigail Yardley, DDS
Title
Ceo
Phone
(781) 545-3703

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DN22290 MA Primary

Addresses

Primary practice location

56 New Driftway
Suite 205
Scituate, MA 02066-4533

Mailing address

56 New Driftway
Suite 205
Scituate, MA 02066-4533
Phone (781) 545-3703

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1447891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447891200000",
    "number": "1104290758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 NEW DRIFTWAY",
            "address_2": "SUITE 205",
            "city": "SCITUATE",
            "state": "MA",
            "postal_code": "020664533",
            "telephone_number": "781-545-3703",
            "fax_number": "781-545-0772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 NEW DRIFTWAY",
            "address_2": "SUITE 205",
            "city": "SCITUATE",
            "state": "MA",
            "postal_code": "020664533",
            "telephone_number": "781-545-3703",
            "fax_number": "781-545-0772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCITUATE FAMILY DENTAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-19",
        "last_updated": "2015-11-19",
        "status": "A",
        "authorized_official_last_name": "YARDLEY",
        "authorized_official_first_name": "ABIGAIL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "781-545-3703",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN22290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scituate, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2015; 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.