Mass Healthy Smiles, LLC

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

Legal business name

MASS HEALTHY SMILES, LLC

Practice address

19 Green Leaf Rd
Bridgewater, MA 02324-2154

Phone

(508) 245-8164

Fax

(508) 697-9117

NPI assigned

Jun 20, 2012

Organization subpart

No

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

Authorized official

Name

Jacklyn L. Ventura, RDH

Title

Owner

Phone

(508) 245-8164

Specialties & licenses 1

Addresses

Practitioners 1

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

• Lisa M Azar, RDH

  • Dental Hygienist
  • Bridgewater, MA
  • NPI 1942544325
  NPD (past)

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

{
    "created_epoch": "1340150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340150400000",
    "number": "1215290606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 GREEN LEAF RD",
            "city": "BRIDGEWATER",
            "state": "MA",
            "postal_code": "023242154",
            "telephone_number": "508-245-8164",
            "fax_number": "508-697-9117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 GREEN LEAF RD",
            "city": "BRIDGEWATER",
            "state": "MA",
            "postal_code": "023242154",
            "telephone_number": "508-245-8164",
            "fax_number": "508-697-9117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASS HEALTHY SMILES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-20",
        "last_updated": "2012-06-20",
        "status": "A",
        "authorized_official_last_name": "VENTURA",
        "authorized_official_first_name": "JACKLYN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-245-8164",
        "authorized_official_credential": "RDH"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dental Hygienist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Martin
• Lauren Martin
• Johnathon Martinez
• Victoria Masefield
• Mass Children Healthy Smiles
• Carol Masshardt, SOCIAL WORKER CLINIC
• Raymond Anthony Mastriani, R.PH, PHARMD
• Kasey Mastrocola
• Masahiro Matsubara
• Kelly Mattar, RN

• Dental Hygienist in Bridgewater, MA
• Providers in Bridgewater, MA by specialty
• Dental Hygienist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2012; 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.