Organization Active NPI

Squire Road Family Dental LLC

  • Dental Clinic/Center
  • Revere, MA
National Provider Identifier
1245197748
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SQUIRE ROAD FAMILY DENTAL LLC
Practice address
276 Squire Rd
Revere, MA 02151-4312
Phone
(781) 284-6197
NPI assigned
Jan 6, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2026

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

Authorized official

Name
Dr. Ernest Frank Powers III, DMDNPI 1962789776
Title
Owner
Phone
(617) 947-7757

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

276 Squire Rd
Revere, MA 02151-4312

Mailing address

276 Squire Rd
Revere, MA 02151-4312
Phone (781) 284-6197

National Provider Directory

National Provider Directory

Locations

276 Squire Rd
Revere, MA 02151
Phone (781) 284-6197

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": "1767657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767657600000",
    "number": "1245197748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "276 SQUIRE RD",
            "city": "REVERE",
            "state": "MA",
            "postal_code": "021514312",
            "telephone_number": "781-284-6197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "276 SQUIRE RD",
            "city": "REVERE",
            "state": "MA",
            "postal_code": "021514312",
            "telephone_number": "781-284-6197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SQUIRE ROAD FAMILY DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-06",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A",
        "authorized_official_last_name": "POWERS",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_middle_name": "FRANK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-947-7757",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Revere, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2026; 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.