For All Ages Dental Associates

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DN21173 Issued in MA

Legal business name

FOR ALL AGES DENTAL ASSOCIATES

Practice address

478 Torrey St
Brockton, MA 02301-4696

Phone

(508) 586-1800

NPI assigned

Aug 16, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Roula Giannos, DMD

Title

President

Phone

(617) 905-4395

Specialties & licenses 1

Addresses

Other names 1

• For all ages family dental Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Morris Barry Cohen, D.M.D.

  • General Practice Dentistry
  • Brockton, MA
  • NPI 1912093766
  NPD (past)

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

{
    "created_epoch": "1376611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376611200000",
    "number": "1205269073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "478 TORREY ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023014696",
            "telephone_number": "508-586-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "478 TORREY ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023014696",
            "telephone_number": "508-586-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOR ALL AGES DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-16",
        "last_updated": "2013-08-16",
        "status": "A",
        "authorized_official_last_name": "GIANNOS",
        "authorized_official_first_name": "ROULA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-905-4395",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MA",
            "license": "DN21173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "For all ages family dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katia Fontes, BS
• Lucia T Fontes, HOME HEALTH AIDE
• Michell R Fontes
• Stephanie Phyu Foo
• Timothy M Foote, DISPENSING OPTICIAN
• For All Ages Dental Associates
• Debroah Ford
• Sandra Ford, LPN
• Patrick Grey Forde, MA, LADC II
• Niyara G. Foreman-Kelly

• Dental Clinic/Center in Brockton, MA
• Providers in Brockton, MA by specialty
• Dental Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.