Organization Active NPI

Sea Coral Dentistry PC

  • Dental Clinic/Center
  • Gloucester, MA
National Provider Identifier
1114768900
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SEA CORAL DENTISTRY PC
Practice address
27 Commercial St
Gloucester, MA 01930-5033
Phone
(781) 587-2605
NPI assigned
Jun 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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

Authorized official

Name
Dr. Mohammed Baseer Ahmed, DMD
Title
Director
Phone
(201) 417-8417

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

27 Commercial St
Gloucester, MA 01930-5033

Mailing address

27 Commercial St
Gloucester, MA 01930-5033
Phone (781) 587-2605

National Provider Directory

National Provider Directory

Locations

27 Commercial St
Gloucester, MA 01930
Phone (781) 587-2605

Practitioners & affiliated clinicians

Practitioners 1

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": "1717459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717459200000",
    "number": "1114768900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 COMMERCIAL ST",
            "city": "GLOUCESTER",
            "state": "MA",
            "postal_code": "019305033",
            "telephone_number": "781-587-2605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 COMMERCIAL ST",
            "city": "GLOUCESTER",
            "state": "MA",
            "postal_code": "019305033",
            "telephone_number": "781-587-2605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEA CORAL DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-04",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "MOHAMMED BASEER",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "201-417-8417",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gloucester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; 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.