Organization Active NPI

Family Dental Group of Northborough

  • Dental Clinic/Center
  • Northborough, MA
National Provider Identifier
1205475415
Registry record updated Jan 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
FAMILY DENTAL GROUP OF NORTHBOROUGH
Doing business as
Family Dental Group of Northborough
Practice address
318 Main St Ste 180
Northborough, MA 01532-3609
Phone
(508) 466-7211
Fax
(508) 466-7153
NPI assigned
Jan 6, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2020

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

Authorized official

Name
Dr. Archana Lavana, DMDNPI 1508827841
Title
Owner
Phone
(508) 466-7211

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

318 Main St Ste 180
Northborough, MA 01532-3609

Mailing address

318 Main St Ste 180
Northborough, MA 01532-3609
Phone (508) 466-7211

Other names 1

  • Family Dental Group of Northborough Doing business as

National Provider Directory

National Provider Directory

Locations

318 Main St
Ste 180
Northborough, MA 01532
Phone (508) 466-7211

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1578268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578268800000",
    "number": "1205475415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 MAIN ST STE 180",
            "city": "NORTHBOROUGH",
            "state": "MA",
            "postal_code": "015323609",
            "telephone_number": "508-466-7211",
            "fax_number": "508-466-7153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 MAIN ST STE 180",
            "city": "NORTHBOROUGH",
            "state": "MA",
            "postal_code": "015323609",
            "telephone_number": "508-466-7211",
            "fax_number": "508-466-7153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY DENTAL GROUP OF NORTHBOROUGH",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-06",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A",
        "authorized_official_last_name": "LAVANA",
        "authorized_official_first_name": "ARCHANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-466-7211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Dental Group of Northborough",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Northborough, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2020; 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.