Organization Active NPI

Unique Dental of Pembroke LLC

  • General Practice Dentistry
  • Pembroke, MA
National Provider Identifier
1255816542
Registry record updated Oct 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
UNIQUE DENTAL OF PEMBROKE LLC
Practice address
752 Washington St Ste 15
Pembroke, MA 02359-2311
Phone
(781) 826-3500
Fax
(781) 826-8727
NPI assigned
Oct 2, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2018

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

Authorized official

Name
Dr. Yaser John Wehbe, DMD
Title
Manager
Phone
(781) 632-3336

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

752 Washington St Ste 15
Pembroke, MA 02359-2311

Mailing address

752 Washington St Ste 15
Pembroke, MA 02359-2311
Phone (781) 826-3500

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1538438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538438400000",
    "number": "1255816542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "752 WASHINGTON ST STE 15",
            "city": "PEMBROKE",
            "state": "MA",
            "postal_code": "023592311",
            "telephone_number": "781-826-3500",
            "fax_number": "781-826-8727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "752 WASHINGTON ST STE 15",
            "city": "PEMBROKE",
            "state": "MA",
            "postal_code": "023592311",
            "telephone_number": "781-826-3500",
            "fax_number": "781-826-8727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIQUE DENTAL OF PEMBROKE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-02",
        "last_updated": "2018-10-02",
        "status": "A",
        "authorized_official_last_name": "WEHBE",
        "authorized_official_first_name": "YASER",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "781-632-3336",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2018; 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.