Gardner Family Dental Care, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

20133 Issued in MA

Legal business name

GARDNER FAMILY DENTAL CARE, LLC

Practice address

380 Elm St
Gardner, MA 01440-3935

Phone

(978) 630-1702

NPI assigned

Apr 7, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Suraiya M Shaikh, DMD

Title

Manager

Phone

(978) 630-1702

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Douglas F Leigh, D.DS.

  • General Practice Dentistry
  • Gardner, MA
  • NPI 1184713976

  General Practice

  NPD (past)

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

{
    "created_epoch": "1270598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270598400000",
    "number": "1235454893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 ELM ST",
            "city": "GARDNER",
            "state": "MA",
            "postal_code": "014403935",
            "telephone_number": "978-630-1702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 ELM ST",
            "city": "GARDNER",
            "state": "MA",
            "postal_code": "014403935",
            "telephone_number": "978-630-1702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDNER FAMILY DENTAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-07",
        "last_updated": "2010-04-07",
        "status": "A",
        "authorized_official_last_name": "SHAIKH",
        "authorized_official_first_name": "SURAIYA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "978-630-1702",
        "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": "20133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gardner Community Action Committee, Inc.
• Gardner Dental Group
• Gardner Emergency Medical Services Inc
• Gardner Eye Associates Inc
• Gardner Family Chiropractic Inc.
• Gardner Family Medicine, Inc.
• Gardner Family Pharmacy Inc
• Gardner Operations LLC
• Gardner Smiles PLLC
• Gardner Visiting Nursing Association Inc

• General Practice Dentistry in Gardner, MA
• Providers in Gardner, 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 Apr 7, 2010; 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.