Kids Dental Care of Fall River, PC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

16809 Issued in MA

Legal business name

KIDS DENTAL CARE OF FALL RIVER, PC

Practice address

154 W Grove St
Middleboro, MA 02346-1484

Phone

(508) 947-6477

NPI assigned

Jun 21, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Michael Anthony Buccino, DDS, MSD

Title

Chief Executive Officer

Phone

(508) 947-6477

Specialties & licenses 1

Addresses

Other names 1

• Michael A. Buccino, DDS, MSD, PC Former legal business name

Tax ID family

Kids Dental Care of Fall River PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Kids Dental Care of Fall River, PC

  • Pediatric Dentistry
  • Fall River, MA
  • NPI 1740485655
  NPD tax ID

Locations

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308873600000",
    "number": "1134324866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1799",
            "city": "NORTH FALMOUTH",
            "state": "MA",
            "postal_code": "025561799",
            "telephone_number": "508-947-6477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 W GROVE ST",
            "city": "MIDDLEBORO",
            "state": "MA",
            "postal_code": "023461484",
            "telephone_number": "508-947-6477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS DENTAL CARE OF FALL RIVER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-21",
        "last_updated": "2011-06-24",
        "status": "A",
        "authorized_official_last_name": "BUCCINO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "508-947-6477",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MSD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MA",
            "license": "16809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michael A. Buccino, DDS, MSD, PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Ranin Kassab, PHARMD
• Katie Moniz Counseling LLC
• Jeffrey Kenney, LMT
• Raimand F Khairallah, D.C.
• Rachel Elizabeth Khan, PHARMD
• Kids Dental Care of Middleboro, LLC
• Wade H Killman
• Sharlena Kimball-Hill
• Jack M Kirichian, MD
• Katherine Elizabeth Kluge

• Pediatric Dentistry in Middleboro, MA
• Providers in Middleboro, MA by specialty
• Pediatric Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2011; 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.