Terrance Bryan Shutts, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DN1855321 Issued in MA

Practice address

332 Washington St
Mezzanine Level
Wellesley, MA 02481-0248

Phone

(781) 222-4738

NPI assigned

Jun 25, 2008

Last updated

Aug 10, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Green Apple Dentistry PLLC

  • Dental Clinic/Center
  • Wellesley, MA
  • NPI 1235772831
  Authorized official Same address or phone

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597017600000",
    "number": "1164684726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 COLUMBIA ST",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024811602",
            "telephone_number": "405-826-2392",
            "fax_number": "058-262-3924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 WASHINGTON ST",
            "address_2": "MEZZANINE LEVEL",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024810248",
            "telephone_number": "781-222-4738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUTTS",
        "first_name": "TERRANCE",
        "middle_name": "BRYAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-25",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1855321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "drshutts@greenwellesleydental.com",
            "affiliation": "N",
            "endpointDescription": "Work E-mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "332 Washington st",
            "address_2": "Mezzanine Level",
            "city": "Wellesley",
            "state": "MA",
            "country_code": "US",
            "postal_code": "024810248",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Connor Matthew Sheridan, PT, DPT
• Sean Michael Sheridan, PT, DPT
• Maryam Shomali, DMD
• Gregory Shoukimas, MD
• Shruti Panjini, DDS, PC (Wellesley Dental Studio)
• Christopher David Shutzer, M. ED, C.A.S COUNSEL
• James S Sidel, M.D.
• Paulette Sidelinker
• Sarah Diana Sidhu, M.D.
• Alissa Siedlecki

• Dentist in Wellesley, MA
• Providers in Wellesley, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2020; 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.