DRS Fred McCready and John Lavoie

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

MA12898 Issued in MA

Legal business name

DRS FRED MCCREADY AND JOHN LAVOIE

Practice address

255 Park Avenue
Suite 804
Worcester, MA 01609-1984

Phone

(508) 757-3466

Fax

(508) 459-5277

NPI assigned

Jan 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Frederick Joseph McCready Jr., DMD

Title

Partner Owner

Phone

(508) 757-3466

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437436800000",
    "number": "1174680912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 PARK AVENUE",
            "address_2": "SUITE 804",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016091984",
            "telephone_number": "508-757-3466",
            "fax_number": "508-459-5277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 PARK AVENUE",
            "address_2": "SUITE 804",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016091984",
            "telephone_number": "508-757-3466",
            "fax_number": "508-459-5277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS FRED MCCREADY AND JOHN LAVOIE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2015-07-21",
        "status": "A",
        "authorized_official_last_name": "MCCREADY",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PARTNER OWNER",
        "authorized_official_telephone_number": "508-757-3466",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "MA12898",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "MA12895",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Worcester, MA
• Providers in Worcester, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2015; 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.