NPIMap

Organization Active NPI

Aaa Dental PC

Doing business as Palmer Dental

  • General Practice Dentistry
  • Palmer, MA
National Provider Identifier
1235701251
Registry record updated Jul 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
AAA DENTAL PC
Doing business as
Palmer Dental
Practice address
1045 Thorndike St
Palmer, MA 01069-1504
Phone
(413) 284-4337
NPI assigned
Jul 12, 2021
Last updated
Jul 12, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2021

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

Authorized official

Name
Tyanna Yaman
Title
Director
Phone
(413) 284-4337

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

1045 Thorndike St
Palmer, MA 01069-1504

Mailing address

477 Town Farm Rd
Warren, MA 01083-7990

Other names 1

  • Palmer Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Aaa Dental PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1626048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626048000000",
    "number": "1235701251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "477 TOWN FARM RD",
            "city": "WARREN",
            "state": "MA",
            "postal_code": "010837990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 THORNDIKE ST",
            "city": "PALMER",
            "state": "MA",
            "postal_code": "010691504",
            "telephone_number": "413-284-4337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AAA DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-12",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A",
        "authorized_official_last_name": "YAMAN",
        "authorized_official_first_name": "TYANNA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "413-284-4337"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palmer Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palmer, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; 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.