Milton Dental Office PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

20485 Issued in MA

Legal business name

MILTON DENTAL OFFICE PC

Practice address

480 Adams St Ste 112
Milton, MA 02186-4914

Phone

(617) 698-9401

NPI assigned

Jan 16, 2007

Organization subpart

No

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

Authorized official

Name

Julia Faigel, DMD

Title

President

Phone

(617) 698-9401

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114078953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 ADAMS ST STE 112",
            "city": "MILTON",
            "state": "MA",
            "postal_code": "021864914",
            "telephone_number": "617-698-9401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 ADAMS ST STE 112",
            "city": "MILTON",
            "state": "MA",
            "postal_code": "021864914",
            "telephone_number": "617-698-9401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILTON DENTAL OFFICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FAIGEL",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-698-9401",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "20485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Melissa Mezzetti-Quirk, MSW
• Shaheen Mian, MD
• Milton Cardiac Testing, P.C.
• Milton Community Services
• Milton Counseling Collaborative
• Milton HC Operating LLC
• Milton Healthcare LLC
• Milton Hill Dental PLLC
• Milton Hospital Tcu Unit
• Milton Pathology Associates

• General Practice Dentistry in Milton, MA
• Providers in Milton, 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 22, 2020; 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.