Integrated Oral Health, PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DN1857321 Issued in MA

Legal business name

INTEGRATED ORAL HEALTH, PC

Doing business as

My Smile Care

Practice address

270 Littleton Rd
Suite 9
Westford, MA 01886-3526

Phone

(617) 642-9775

NPI assigned

Feb 14, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Dheeraj Pamidimukkala, DMD

Title

President

Phone

(617) 642-9775

Specialties & licenses 1

Addresses

Other names 1

• My Smile Care Doing business as

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

{
    "created_epoch": "1487030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487030400000",
    "number": "1174062848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 LITTLETON RD",
            "address_2": "SUITE 9",
            "city": "WESTFORD",
            "state": "MA",
            "postal_code": "018863526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 LITTLETON RD",
            "address_2": "SUITE 9",
            "city": "WESTFORD",
            "state": "MA",
            "postal_code": "018863526",
            "telephone_number": "617-642-9775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED ORAL HEALTH, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-14",
        "last_updated": "2017-02-14",
        "status": "A",
        "authorized_official_last_name": "PAMIDIMUKKALA",
        "authorized_official_first_name": "DHEERAJ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-642-9775",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MA",
            "license": "DN1857321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My Smile Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elsa Annika Elisabet Hultin, LAC
• Meryl Gray Hunter, 0.D.
• Katherine R Hutchens, LICSW
• Truong Huynh, M.D.
• Insight Therapies Inc.
• Interactions Counseling and Intervention Center Inc.
• Patricia A Jackson, RN, MSN, PPCNP-BC, P
• Ana Jacobellis, D.O.
• Janet L. Fritz, Psy.D., PC
• Jayne Sue Jarger, DC

• Dental Clinic/Center in Westford, MA
• Providers in Westford, 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 Feb 14, 2017; 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.