Excel Dental of Everett, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

EXCEL DENTAL OF EVERETT, LLC

Practice address

1795 Revere Beach Pkwy
Everett, MA 02149-5912

Phone

(617) 433-8060

NPI assigned

Aug 18, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Chitrang B. Patel, DMD

Title

President

Phone

(617) 433-8060

Specialties & licenses 1

Addresses

Other names 2

• Excel Dental Doing business as
• Excel Dental Everett Doing business as

Locations

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

{
    "created_epoch": "1629244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629244800000",
    "number": "1154097434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1795 REVERE BEACH PKWY",
            "city": "EVERETT",
            "state": "MA",
            "postal_code": "021495912",
            "telephone_number": "617-433-8060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1795 REVERE BEACH PKWY",
            "city": "EVERETT",
            "state": "MA",
            "postal_code": "021495912",
            "telephone_number": "617-433-8060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL DENTAL OF EVERETT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-18",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-09",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "CHITRANG",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-433-8060",
        "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": [
        {
            "organization_name": "Excel Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Excel Dental Everett",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Everett Foot Care PC
• Everett Rehabilitation Services LLC
• Everett Smiles Pediatric Dentistry and Orthodontics PC
• Everett Workwell Dental PLLC
• Claire Exantus
• Kaitlin E Faber, CCC-SLP
• Beverly Jean Faison-Sneed, BS
• Julia Farber, PA-C
• Juliane Farias
• Amanda Farrell, PA-C

• Dental Clinic/Center in Everett, MA
• Providers in Everett, 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 Aug 18, 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.