Salem Dental Group LLC

Primary specialty

DentistTaxonomy code 122300000X

License

DN20980 Issued in MA

Legal business name

SALEM DENTAL GROUP LLC

Practice address

393 Essex St
Salem, MA 01970-3156

Phone

(978) 744-5912

NPI assigned

Jan 4, 2017

Organization subpart

No

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

Authorized official

Name

Richard T Miller

Title

Sole Member

Phone

(617) 921-6292

Specialties & licenses 1

Addresses

Practitioners 1

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

• James J Jervinis, DMD

  • General Practice Dentistry
  • Salem, MA
  • NPI 1023290483
  NPD (past)

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

{
    "created_epoch": "1483488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483488000000",
    "number": "1104361948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 CHAPMAN ST UNIT 201",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020212040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "393 ESSEX ST",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019703156",
            "telephone_number": "978-744-5912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALEM DENTAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-04",
        "last_updated": "2017-01-04",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "617-921-6292"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN20980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolina Saldanha Neves Horta Lima, M.D.
• Salem Academy Charter School
• Salem Chiropractic Center, LLC
• Salem Collaborative Therapist Collective
• Salem Dental Arts
• Salem Eye Associates
• Salem Family Dental
• Salem Family Dental and Orthodontics PC
• Salem Family Dental Care, P.C.
• Salem Hope and Wellness, LLC

• Dentist in Salem, MA
• Providers in Salem, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2017; 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.