Amazing Family Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

AMAZING FAMILY DENTAL

Practice address

436 Broadway
Methuen, MA 01844-2061

Phone

(857) 234-6289

NPI assigned

Oct 26, 2017

Last updated

Aug 19, 2019By 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

Jimish Patel

Title

DMD

Phone

(857) 234-6289

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1508976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566172800000",
    "number": "1255843587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 BROADWAY-VILLAGE MALL",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018442061",
            "telephone_number": "857-234-6289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 BROADWAY",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018442061",
            "telephone_number": "857-234-6289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMAZING FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-26",
        "last_updated": "2019-08-19",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "JIMISH",
        "authorized_official_title_or_position": "DMD",
        "authorized_official_telephone_number": "857-234-6289"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Methuen, MA
• Providers in Methuen, MA by specialty
• Dental Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2019; 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.