West River Dental Associates, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D20511 Issued in MA

Legal business name

WEST RIVER DENTAL ASSOCIATES, PC

Practice address

450 W River St
Suite 2
Orange, MA 01364-1435

Phone

(978) 544-7965

NPI assigned

Feb 2, 2017

Organization subpart

No

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

Authorized official

Name

Houssam Alkhoury, DMD

Title

President

Phone

(508) 505-5040

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1485993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485993600000",
    "number": "1124566831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 FOX RUN RD",
            "city": "BOLTON",
            "state": "MA",
            "postal_code": "017402004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 W RIVER ST",
            "address_2": "SUITE 2",
            "city": "ORANGE",
            "state": "MA",
            "postal_code": "013641435",
            "telephone_number": "978-544-7965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST RIVER DENTAL ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-02",
        "last_updated": "2017-02-02",
        "status": "A",
        "authorized_official_last_name": "ALKHOURY",
        "authorized_official_first_name": "HOUSSAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-505-5040",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "D20511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Orange, MA
• General Practice Dentistry in Massachusetts

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