NPIMap

Organization Active NPI

Town Dental Partners,LLC

  • General Practice Dentistry
  • Dudley, MA
National Provider Identifier
1225430366
Registry record updated Sep 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
20511 Issued in MA
Legal business name
TOWN DENTAL PARTNERS,LLC
Practice address
219 W Main St
Dudley, MA 01571-5939
Phone
(508) 943-7001
NPI assigned
Sep 19, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2014

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

Authorized official

Name
Dr. Sam Alkhoury, DMD
Title
President/Orthodontist
Phone
(508) 943-7001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 20511 MA Primary

Addresses

Primary practice location

219 W Main St
Dudley, MA 01571-5939

Mailing address

219 W Main St
Dudley, MA 01571-5939

Other names 1

  • Dudley Family Dental Doing business as

National Provider Directory

National Provider Directory

Locations

219 W Main St
Dudley, MA 01571
Phone (508) 943-7001

Practitioners & affiliated clinicians

Practitioners 2

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": "1411084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411084800000",
    "number": "1225430366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 W MAIN ST",
            "city": "DUDLEY",
            "state": "MA",
            "postal_code": "015715939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 W MAIN ST",
            "city": "DUDLEY",
            "state": "MA",
            "postal_code": "015715939",
            "telephone_number": "508-943-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN DENTAL PARTNERS,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-19",
        "last_updated": "2014-09-19",
        "status": "A",
        "authorized_official_last_name": "ALKHOURY",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "PRESIDENT/ORTHODONTIST",
        "authorized_official_telephone_number": "508-943-7001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "20511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dudley Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dudley, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2014; 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.