Amerident Dental PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

AMERIDENT DENTAL PC

Practice address

505 Nashua Rd
Suite #13
Dracut, MA 01826-1955

Phone

(978) 957-5733

NPI assigned

Aug 26, 2015

Last updated

Aug 26, 2015By 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

Dr. Abboud Mallouh, DDS

Title

Specialist

Phone

(978) 957-5733

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1440547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440547200000",
    "number": "1174990097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 NASHUA RD",
            "address_2": "SUITE #13",
            "city": "DRACUT",
            "state": "MA",
            "postal_code": "018261955",
            "telephone_number": "978-957-5733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 NASHUA RD",
            "address_2": "SUITE #13",
            "city": "DRACUT",
            "state": "MA",
            "postal_code": "018261955",
            "telephone_number": "978-957-5733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERIDENT DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-26",
        "last_updated": "2015-08-26",
        "status": "A",
        "authorized_official_last_name": "MALLOUH",
        "authorized_official_first_name": "ABBOUD",
        "authorized_official_title_or_position": "SPECIALIST",
        "authorized_official_telephone_number": "978-957-5733",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.