First Commonwealth Dental LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

FIRST COMMONWEALTH DENTAL LLC

Doing business as

Southbridge Dentistry & Implants

Practice address

11 Central St
Southbridge, MA 01550-3707

Phone

(508) 909-6122

NPI assigned

Aug 29, 2024

Organization subpart

Yes

Parent organization

FIRST COMMONWEALTH DENTAL LLCAs reported in NPPES

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

Authorized official

Name

Dr. Ram Yadav, DMD

Title

President

Phone

(573) 639-0497

Specialties & licenses 1

Addresses

Other names 1

• Southbridge Dentistry & Implants Doing business as

Electronic endpoints 1

Tax ID family

First Commonwealth Dental LLC3 organizations share this tax ID, including this one

Part of

First Commonwealth Dental LLC

Other organizations with this tax ID 2

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

• First Commonwealth Dental LLC

  • Dental Clinic/Center
  • Palmer, MA
  • NPI 1346031754
  NPD tax ID
• First Commonwealth Dental LLC

  • Dental Clinic/Center
  • Malden, MA
  • NPI 1841070141
  NPD tax ID

Locations

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

{
    "created_epoch": "1724889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724889600000",
    "number": "1164256251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 CENTRAL ST",
            "city": "SOUTHBRIDGE",
            "state": "MA",
            "postal_code": "015503707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 CENTRAL ST",
            "city": "SOUTHBRIDGE",
            "state": "MA",
            "postal_code": "015503707",
            "telephone_number": "508-909-6122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST COMMONWEALTH DENTAL LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FIRST COMMONWEALTH DENTAL LLC",
        "enumeration_date": "2024-08-29",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A",
        "authorized_official_last_name": "YADAV",
        "authorized_official_first_name": "RAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "573-639-0497",
        "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": "https://southbridgedentistryandimplants.com/",
            "affiliation": "N",
            "endpointDescription": "website",
            "address_1": "11 Central St",
            "city": "Southbridge",
            "state": "MA",
            "country_code": "US",
            "postal_code": "015503707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Southbridge Dentistry & Implants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Ann Fellows, PA-C
• Morgan Ferguson
• Ana Fernandes
• Darlene Lynn-Kindler Finamore, M.ED., C.A.G.S.
• Kathleen Mary Finn, D.O.
• Karen Fitzpatrick, OT/R
• John J. Flanagan, M.D.
• Focused Primary Care PC
• Mary Jane Foley, LICSW
• Maggie Foster

• Dental Clinic/Center in Southbridge, MA
• Providers in Southbridge, 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 29, 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.