NPIMap

Organization Active NPI

Sudbury Family Dental Care

  • General Practice Dentistry
  • Sudbury, MA
National Provider Identifier
1174036925
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SUDBURY FAMILY DENTAL CARE
Practice address
370 Boston Post Rd
Sudbury, MA 01776-3049
Phone
(978) 443-5193
NPI assigned
Nov 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Maureen Casali
Title
Office Manager
Phone
(978) 443-5193

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X MA Primary

Addresses

Primary practice location

370 Boston Post Rd
Sudbury, MA 01776-3049

Mailing address

370 Boston Post Rd
Sudbury, MA 01776-3049
Phone (978) 773-5193

National Provider Directory

National Provider Directory

Locations

370 Boston Post Rd
Sudbury, MA 01776
Phone (978) 443-5193

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1510617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1174036925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 BOSTON POST RD",
            "city": "SUDBURY",
            "state": "MA",
            "postal_code": "017763049",
            "telephone_number": "978-773-5193",
            "fax_number": "978-443-4063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 BOSTON POST RD",
            "city": "SUDBURY",
            "state": "MA",
            "postal_code": "017763049",
            "telephone_number": "978-443-5193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUDBURY FAMILY DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-14",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CASALI",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "978-443-5193"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sudbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.