Organization Active NPI

Woburn Dental Care LLC

Doing business as Dental Design

  • General Practice Dentistry
  • Woburn, MA
National Provider Identifier
1154143782
Registry record updated Oct 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
WOBURN DENTAL CARE LLC
Doing business as
Dental Design
Practice address
120 Commerce Way # 2
Woburn, MA 01801-1379
Phone
(617) 678-6717
NPI assigned
Oct 25, 2024
Last updated
Oct 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2024

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

Authorized official

Name
Sukhpreet Rana, DMDNPI 1225506728
Title
Owner
Phone
(617) 678-6717

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

120 Commerce Way # 2
Woburn, MA 01801-1379

Mailing address

406 W 1St St
Boston, MA 02127-1343
Phone (617) 678-6717

Other names 1

  • Dental Design Doing business as

National Provider Directory

National Provider Directory

Locations

120 Commerce Way
Ste 2
Woburn, MA 01801
Phone (617) 678-6717

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1729814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729814400000",
    "number": "1154143782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 W 1ST ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021271343",
            "telephone_number": "617-678-6717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 COMMERCE WAY # 2",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018011379",
            "telephone_number": "617-678-6717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOBURN DENTAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-25",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A",
        "authorized_official_last_name": "RANA",
        "authorized_official_first_name": "SUKHPREET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-678-6717",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Design",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woburn, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; 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.