Organization Active NPI

Forever Family Dental PLLC

  • Dental Clinic/Center
  • Wilmington, MA
National Provider Identifier
1124784517
Registry record updated Nov 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
FOREVER FAMILY DENTAL PLLC
Practice address
25 Lowell St
Wilmington, MA 01887-3238
Phone
(978) 658-5656
Fax
(978) 694-7645
NPI assigned
Nov 10, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2021

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

Authorized official

Name
Dr. Michele Eileen Semonelli, DMD
Title
Owner
Phone
(978) 658-5656

Specialties & licenses 1

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

Addresses

Primary practice location

25 Lowell St
Wilmington, MA 01887-3238

Mailing address

25 Lowell St
Wilmington, MA 01887-3238
Phone (978) 658-5656

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL NA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1636502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636502400000",
    "number": "1124784517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 LOWELL ST",
            "city": "WILMINGTON",
            "state": "MA",
            "postal_code": "018873238",
            "telephone_number": "978-658-5656",
            "fax_number": "978-694-7645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 LOWELL ST",
            "city": "WILMINGTON",
            "state": "MA",
            "postal_code": "018873238",
            "telephone_number": "978-658-5656",
            "fax_number": "978-694-7645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREVER FAMILY DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-10",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A",
        "authorized_official_last_name": "SEMONELLI",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "EILEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-658-5656",
        "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": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "NA",
            "affiliation": "N",
            "address_1": "25 Lowell St",
            "city": "Wilmington",
            "state": "MA",
            "country_code": "US",
            "postal_code": "018873238",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wilmington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; 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.