NPIMap

Organization Active NPI

Suba Dental Dba Hudson Dental Care

  • Dentist
  • Hudson, MA
National Provider Identifier
1174782981
Registry record updated Jun 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
21140 Issued in MA
Legal business name
SUBA DENTAL DBA HUDSON DENTAL CARE
Practice address
241 Main St
Hudson, MA 01749-2320
Phone
(978) 562-6000
Fax
(978) 562-4868
NPI assigned
Jun 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2008

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

Authorized official

Name
Sueanne Davood
Title
Office Manager
Phone
(978) 562-6000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 21140 MA Primary

Addresses

Primary practice location

241 Main St
Hudson, MA 01749-2320

Mailing address

241 Main St
Hudson, MA 01749-2320
Phone (978) 562-6000

National Provider Directory

National Provider Directory

Locations

241 Main St
Hudson, MA 01749
Phone (443) 515-9534

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": "1212710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212710400000",
    "number": "1174782981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 MAIN ST",
            "city": "HUDSON",
            "state": "MA",
            "postal_code": "017492320",
            "telephone_number": "978-562-6000",
            "fax_number": "978-562-4868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 MAIN ST",
            "city": "HUDSON",
            "state": "MA",
            "postal_code": "017492320",
            "telephone_number": "978-562-6000",
            "fax_number": "978-562-4868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBA DENTAL DBA HUDSON DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-06",
        "last_updated": "2008-06-06",
        "status": "A",
        "authorized_official_last_name": "DAVOOD",
        "authorized_official_first_name": "SUEANNE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "978-562-6000"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MA",
            "license": "21140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2008; 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.