Edmond Massabni PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

EDMOND MASSABNI PC

Practice address

859 Washington St
Holliston, MA 01746-1685

Phone

(508) 429-4445

Fax

(508) 429-0853

NPI assigned

Feb 4, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Edmond Massabni, DDS

Title

Owner

Phone

(508) 429-4445

Specialties & licenses 1

Addresses

Other names 1

• Holliston Dental Associates Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica Dispena Walter, DMD

  • General Practice Dentistry
  • Holliston, MA
  • NPI 1265536767
  NPD (past)

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

{
    "created_epoch": "1296777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296777600000",
    "number": "1255637427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "859 WASHINGTON ST",
            "city": "HOLLISTON",
            "state": "MA",
            "postal_code": "017461685",
            "telephone_number": "508-429-4445",
            "fax_number": "508-429-0853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "859 WASHINGTON ST",
            "city": "HOLLISTON",
            "state": "MA",
            "postal_code": "017461685",
            "telephone_number": "508-429-4445",
            "fax_number": "508-429-0853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDMOND MASSABNI PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-04",
        "last_updated": "2011-02-04",
        "status": "A",
        "authorized_official_last_name": "MASSABNI",
        "authorized_official_first_name": "EDMOND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-429-4445",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holliston Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Muditha Devamitta Perera
• Julie Dicicco, LICSW
• William Paul Donnelly, LIC. AC.
• Dr. Steven T Perryman OD Inc
• Dwinnells Behavioral Health LLC
• Devonta Rayshaun Edwards, LICSW
• Michelle E Eisan-Smith, PH.D.
• Linda Eisenberg, LICSW
• Enjoy Speech Therapy, LLC
• Pauline Eteng

• Dentist in Holliston, MA
• Providers in Holliston, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2011; 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.