South Natick Dental, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

18427 Issued in MA

Legal business name

SOUTH NATICK DENTAL, PC

Practice address

65 Eliot St
Natick, MA 01760-5539

Phone

(508) 655-8020

Fax

(508) 655-8050

NPI assigned

Aug 11, 2008

Organization subpart

No

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

Authorized official

Name

Svetlana Novak, DMD

Title

President

Phone

(508) 655-8020

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1218412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218412800000",
    "number": "1215183264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 ELIOT ST",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017605539",
            "telephone_number": "508-655-8020",
            "fax_number": "508-655-8050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 ELIOT ST",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017605539",
            "telephone_number": "508-655-8020",
            "fax_number": "508-655-8050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH NATICK DENTAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-11",
        "last_updated": "2008-08-11",
        "status": "A",
        "authorized_official_last_name": "NOVAK",
        "authorized_official_first_name": "SVETLANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-655-8020",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "18427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elyse T Sokol, RN MS CNS
• Nadin Solaka
• Tess Somerville, MOT
• Nancy Jo Soporowski, DMD
• Rachel Soroka, LICSW
• Kerry Souza
• Elizabeth C Spark, M.D.
• Steven M Spiegel, M.D.
• Jennifer Ann Spitz, PT
• Sports Podiatry Resource Inc

• General Practice Dentistry in Natick, MA
• Providers in Natick, 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 11, 2008; 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.