Active NPI
North Cambridge Dental, P.C.
- General Practice Dentistry
- Cambridge, MA
National Provider Identifier
1235251695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 14418
- Legal business name
- NORTH CAMBRIDGE DENTAL, P.C.
- Practice address
- 2210 Massachusetts Ave
Cambridge, MA 02140-1892 - Phone
- (617) 876-8636
- Fax
- (617) 661-4894
- NPI assigned
- Apr 5, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Loren Jay Wilson, D.M.D.
- Title
- President
- Phone
- (617) 876-8636
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 14418 | MA | Primary |
Addresses
Primary practice location
2210 Massachusetts Ave
Cambridge, MA 02140-1892
Mailing address
2210 Massachusetts Ave
Cambridge, MA 02140-1892
Phone (617) 876-8636
National Provider Directory
National Provider DirectoryLocations
2210 Massachusetts Ave
Cambridge, MA 02140
Phone (617) 876-8636
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175731200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1235251695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2210 MASSACHUSETTS AVE",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021401892",
"telephone_number": "617-876-8636",
"fax_number": "617-661-4894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2210 MASSACHUSETTS AVE",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021401892",
"telephone_number": "617-876-8636",
"fax_number": "617-661-4894"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH CAMBRIDGE DENTAL, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-05",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "WILSON",
"authorized_official_first_name": "LOREN",
"authorized_official_middle_name": "JAY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "617-876-8636",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.M.D."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "MA",
"license": "14418",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cambridge, MA
- Nora Ilniczky, PH.D., Psychotherapy and Wellbeing, LLC.
- Marco Antonio Noriega, MD
- Emily Normand, LMHC
- Rebecca Norris-Bell, PH.D.
- North Cambridge Dental
- North Charles Mental Health Research & Training Foundation, Inc
- Melanie G Northrop, LICSW
- Northstar Mobility & Medical Co.
- Hilary Stuart Norton, PSY.D.
- Justyna Notargiacomo, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.