Stoughton Dentistry, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

STOUGHTON DENTISTRY, LLC

Practice address

35 Park St
Stoughton, MA 02072-2913

Phone

(508) 733-9046

NPI assigned

Aug 27, 2015

Last updated

Aug 27, 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. Vidya Reddy, DMD

Title

Member

Phone

(617) 686-9034

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1440633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440633600000",
    "number": "1194192906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 PARK ST",
            "city": "STOUGHTON",
            "state": "MA",
            "postal_code": "020722913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 PARK ST",
            "city": "STOUGHTON",
            "state": "MA",
            "postal_code": "020722913",
            "telephone_number": "508-733-9046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STOUGHTON DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-27",
        "last_updated": "2015-08-27",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "VIDYA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "617-686-9034",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steward Medical Laboratories LLC
• Journey Nicole Stockton
• Stoughton Adult Medical Day Care Center, Inc.
• Stoughton Counseling Inc
• Stoughton Dental Group, LLC
• Stoughton Massage Therapy, Inc
• Stoughton Nursing LLC (Goddard Rehabilitation and Nursing Center)
• Stoughton Opco, LLC (Blue Hills Health and Rehabilitation Center)
• Stoughton Optometric Care Inc
• Stoughton Senior Living LLC (Brookmeadow at Blue Hills)

• General Practice Dentistry in Stoughton, MA
• Providers in Stoughton, 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 Aug 27, 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.