Organization Active NPI

Osterville Family Dental

  • General Practice Dentistry
  • Osterville, MA
National Provider Identifier
1265824023
Registry record updated Mar 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1855441 Issued in MA
Legal business name
OSTERVILLE FAMILY DENTAL
Practice address
21 Pond St
Unit 4
Osterville, MA 02655-1508
Phone
(508) 428-2443
Fax
(508) 591-8560
NPI assigned
Mar 3, 2015
Last updated
Mar 3, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2015

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

Authorized official

Name
Dr. Talida M Flonta
Title
Owner
Phone
(508) 428-2443

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 1855441 MA Primary

Addresses

Primary practice location

21 Pond St
Unit 4
Osterville, MA 02655-1508

Mailing address

21 Pond St
Unit 4
Osterville, MA 02655-1508
Phone (508) 428-2443

National Provider Directory

National Provider Directory

Locations

21 Pond St
Unit 4
Osterville, MA 02655
Phone (508) 428-2443

NPI Registry JSON

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

{
    "created_epoch": "1425340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425340800000",
    "number": "1265824023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 POND ST",
            "address_2": "UNIT 4",
            "city": "OSTERVILLE",
            "state": "MA",
            "postal_code": "026551508",
            "telephone_number": "508-428-2443",
            "fax_number": "508-591-8560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 POND ST",
            "address_2": "UNIT 4",
            "city": "OSTERVILLE",
            "state": "MA",
            "postal_code": "026551508",
            "telephone_number": "508-428-2443",
            "fax_number": "508-591-8560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSTERVILLE FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-03",
        "last_updated": "2015-03-03",
        "status": "A",
        "authorized_official_last_name": "FLONTA",
        "authorized_official_first_name": "TALIDA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-428-2443",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "1855441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Osterville, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.