Just Smiles Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22044 Issued in MA

Legal business name

JUST SMILES DENTAL

Practice address

622 Somerville Ave
Somerville, MA 02143-3211

Phone

(617) 623-8489

NPI assigned

Oct 3, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Timothy C. DO, D.D.S.

Title

President

Phone

(817) 706-7410

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1254528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254528000000",
    "number": "1184959595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 TISDALE DR",
            "city": "DOVER",
            "state": "MA",
            "postal_code": "020301600",
            "telephone_number": "817-706-7410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 SOMERVILLE AVE",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021433211",
            "telephone_number": "617-623-8489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUST SMILES DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-03",
        "last_updated": "2009-10-03",
        "status": "A",
        "authorized_official_last_name": "DO",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-706-7410",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "22044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Journey Psychiatric Care, LLC
• Chris Joyce, DPT
• Rajee K Joyce, MD
• Cassandra Jules
• Vivian Juliao de Oliveira
• Emily Stefan Kachinsky, O.D.
• Kourtney Kacian, PHYSICIAN ASSISTANT
• Douglas Robert Kahn, MSPT
• Hope Kalajian, PHARMD
• Krystallia Kalliontzi

• General Practice Dentistry in Somerville, MA
• Providers in Somerville, 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 Oct 3, 2009; 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.