NPIMap

Organization Active NPI

Childrens Dental Health Center

  • Pediatric Dentistry
  • Stoughton, MA
National Provider Identifier
1114114360
Registry record updated Oct 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
16804 Issued in MA
Legal business name
CHILDRENS DENTAL HEALTH CENTER
Practice address
966 Park St # C
Stoughton, MA 02072-3650
Phone
(781) 341-0030
Fax
(781) 341-1166
NPI assigned
Oct 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2007

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

Authorized official

Name
Dr. Steven Lee Herschlag, DMD
Title
President
Phone
(781) 341-0030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X 16804 MA Primary

Addresses

Primary practice location

966 Park St # C
Stoughton, MA 02072-3650

Mailing address

966 Park St # C
Stoughton, MA 02072-3650
Phone (781) 341-0030

National Provider Directory

National Provider Directory

Locations

966 Park St
#C
Stoughton, MA 02072
Phone (781) 341-0030

NPI Registry JSON

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191283200000",
    "number": "1114114360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "966 PARK ST # C",
            "city": "STOUGHTON",
            "state": "MA",
            "postal_code": "020723650",
            "telephone_number": "781-341-0030",
            "fax_number": "781-341-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "966 PARK ST # C",
            "city": "STOUGHTON",
            "state": "MA",
            "postal_code": "020723650",
            "telephone_number": "781-341-0030",
            "fax_number": "781-341-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDRENS DENTAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-02",
        "last_updated": "2007-10-02",
        "status": "A",
        "authorized_official_last_name": "HERSCHLAG",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-341-0030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MA",
            "license": "16804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stoughton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2007; 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.