Atlantic Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN1855454 Issued in MA

Legal business name

ATLANTIC DENTAL

Practice address

150 Main St
6B
Peabody, MA 01960-5653

Phone

(978) 587-3330

NPI assigned

Sep 19, 2013

Last updated

Sep 19, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Larisa Seredkina

Title

Office Manager

Phone

(978) 587-3330

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1379548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379548800000",
    "number": "1174959381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 MAIN ST",
            "address_2": "6B",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019605653",
            "telephone_number": "978-587-3330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 MAIN ST",
            "address_2": "6B",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019605653",
            "telephone_number": "978-587-3330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-19",
        "last_updated": "2013-09-19",
        "status": "A",
        "authorized_official_last_name": "SEREDKINA",
        "authorized_official_first_name": "LARISA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "978-587-3330",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1855454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arthritis Associates Inc
• Arthritis Associates, Inc
• Arthritis Associates, Inc.
• Dimitrios Asanakis
• Kathryn Asch, FNP-BC
• Atrius Heallth, Inc.
• Atrius Health, Inc. (Harvard Vanguard Medical Associates)
• Atrius Health, Inc. (Harvard Vanguard Medical Associates)
• Atrius Health, Inc. (Harvard Vanguard Medical Associates)
• Katherine Schaffer Attia, CPNP

• General Practice Dentistry in Peabody, MA
• Providers in Peabody, 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 Sep 19, 2013; 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.