Organization Active NPI

Dental 1 Inc

  • Dentist
  • Milton, MA
National Provider Identifier
1245332949
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
20231 Issued in MA
Legal business name
DENTAL 1 INC
Practice address
480 Adams St
Suite 104
Milton, MA 02186
Phone
(617) 698-0600
Fax
(617) 696-3589
NPI assigned
Sep 2, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Gregg Raymond Melfi, DDSNPI 1619035250
Title
Dentist Owner
Phone
(617) 698-0600

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2159 RI
Dentist 122300000X 20231 MA Primary

Addresses

Primary practice location

480 Adams St
Suite 104
Milton, MA 02186

Mailing address

480 Adams Street
Suite 104
Milton, MA 02186
Phone (617) 698-0600

Other names 1

  • South Shore Laser Dentistry Inc Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Dental 1 Inc2 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 2

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": "1157155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245332949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 ADAMS STREET",
            "address_2": "SUITE 104",
            "city": "MILTON",
            "state": "MA",
            "postal_code": "02186",
            "telephone_number": "617-698-0600",
            "fax_number": "617-696-3589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 ADAMS ST",
            "address_2": "SUITE 104",
            "city": "MILTON",
            "state": "MA",
            "postal_code": "02186",
            "telephone_number": "617-698-0600",
            "fax_number": "617-696-3589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL 1 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MELFI",
        "authorized_official_first_name": "GREGG",
        "authorized_official_middle_name": "RAYMOND",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "617-698-0600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "RI",
            "license": "2159",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "20231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Shore Laser Dentistry Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Milton, MA

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.

Verify at the official NPI Registry.