Anna Dalavurak DMD, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19923 Issued in MA

Legal business name

ANNA DALAVURAK DMD, PC

Practice address

779 Washington St
Suite 3a-3C
Canton, MA 02021-3022

Phone

(781) 828-8070

Fax

(781) 821-3490

NPI assigned

Apr 12, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Anna Dalavurak, DMDNPI 1376767384

Title

Dentist

Phone

(781) 828-8070

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, and the practitioner matching its NPPES authorized official.

• Anna Dalavurak, DMD

  • Dentist
  • Canton, MA
  • NPI 1376767384
  NPD (past) Authorized official

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245454289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "779 WASHINGTON ST",
            "address_2": "SUITE 3A-3C",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020213022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "779 WASHINGTON ST",
            "address_2": "SUITE 3A-3C",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020213022",
            "telephone_number": "781-828-8070",
            "fax_number": "781-821-3490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNA DALAVURAK DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DALAVURAK",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "781-828-8070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "19923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Canton, MA
• Providers in Canton, 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 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.