First Impression Dental, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

1258907 Issued in MA

Legal business name

FIRST IMPRESSION DENTAL, PLLC

Practice address

1751 Massachusetts Ave FL 1
Cambridge, MA 02140-2218

Phone

(617) 207-8667

NPI assigned

Jan 8, 2016

Last updated

Jan 26, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Dmitry Grigory Merzon, DMDNPI 1437561560

Title

Owner

Phone

(617) 207-8667

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dmitry Grigory Merzon, D.M.D

  • Dentist
  • Cambridge, MA
  • NPI 1437561560
  NPD (past) Authorized official

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

{
    "created_epoch": "1452211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453766400000",
    "number": "1124484001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1751 MASSACHUSETTS AVE FL 1",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021402218",
            "telephone_number": "617-207-8667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 MASSACHUSETTS AVE FL 1",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021402218",
            "telephone_number": "617-207-8667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST IMPRESSION DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-08",
        "last_updated": "2016-01-26",
        "status": "A",
        "authorized_official_last_name": "MERZON",
        "authorized_official_first_name": "DMITRY",
        "authorized_official_middle_name": "GRIGORY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-207-8667",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MA",
            "license": "1258907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Finley
• Heather Lynne Finnegan, RN
• Firelight Acupuncture LLC
• Leigh M Firn, MD
• Yudelki Marlin Firpo-Perretti, PH.D.
• Alan Fisch, MD
• David Fischer
• David S Fish, DMD
• Pamela Nelson Fish, PA-C
• Avery Fisher, CNM

• Dental Clinic/Center in Cambridge, MA
• Providers in Cambridge, MA by specialty
• Dental Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2016; 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.