Organization Active NPI

Sham Tang and Tam PC

Doing business as Smilage Dental Center

  • Dental Clinic/Center
  • Franklin, MA
National Provider Identifier
1255476453
Registry record updated Nov 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SHAM TANG AND TAM PC
Doing business as
Smilage Dental Center
Practice address
72 Grove St
Suite 2
Franklin, MA 02038-3241
Phone
(508) 541-1433
Fax
(508) 541-4131
NPI assigned
Feb 21, 2007
Organization subpart
Yes
Parent organization
SHAM TANG AND TAM PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 6, 2015

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

Authorized official

Name
Ms. Zully Gonzalez
Title
Office Manager
Phone
(508) 820-7792

Specialties & licenses 1

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

Addresses

Primary practice location

72 Grove St
Suite 2
Franklin, MA 02038-3241

Mailing address

72 Grove St
Suite 2
Franklin, MA 02038-3241
Phone (508) 541-1433

Other identifiers 1

IdentifierTypeStateIssuer
110072209AMedicaidMA

Other names 1

  • Smilage Dental Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sham Tang and Tam PC2 organizations share this tax ID, including this one
Part of
Sham Tang and Tam PC

Other organizations with this tax ID 1

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

Locations

72 Grove St
Ste 2
Franklin, MA 02038
Phone (508) 541-1433

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": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446768000000",
    "number": "1255476453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 GROVE ST",
            "address_2": "SUITE 2",
            "city": "FRANKLIN",
            "state": "MA",
            "postal_code": "020383241",
            "telephone_number": "508-541-1433",
            "fax_number": "508-541-4131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 GROVE ST",
            "address_2": "SUITE 2",
            "city": "FRANKLIN",
            "state": "MA",
            "postal_code": "020383241",
            "telephone_number": "508-541-1433",
            "fax_number": "508-541-4131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAM TANG AND TAM PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHAM TANG AND TAM PC",
        "enumeration_date": "2007-02-21",
        "last_updated": "2015-11-06",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "ZULLY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "508-820-7792",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110072209A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smilage Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Franklin, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2015; 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.