Organization Active NPI

Watertown Dentistry

  • Dentist
  • Watertown, MA
National Provider Identifier
1275856494
Registry record updated Mar 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
19968 Issued in MA
Legal business name
WATERTOWN DENTISTRY
Practice address
51A Galen Street
Watertown, MA 02472
Phone
(617) 600-3442
Fax
(617) 600-3448
NPI assigned
Mar 2, 2010
Organization subpart
Yes
Parent organization
CHELSEA FAMILY DENTALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 2, 2010

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

Authorized official

Name
Dr. Yousry Attia, DMD
Title
Owner
Phone
(617) 600-3442

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 19968 MA Primary

Addresses

Primary practice location

51A Galen Street
Watertown, MA 02472

Mailing address

51A Galen Street
Watertown, MA 02472
Phone (617) 600-3442

National Provider Directory

National Provider Directory
Tax ID family
Watertown Dentistry2 organizations share this tax ID, including this one
Part of
Watertown Dentistry

Other organizations with this tax ID 1

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

Locations

51 Galen St
#A
Watertown, MA 02472
Phone (617) 600-3442

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1267488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267488000000",
    "number": "1275856494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51A GALEN STREET",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "02472",
            "telephone_number": "617-600-3442",
            "fax_number": "617-600-3448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51A GALEN STREET",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "02472",
            "telephone_number": "617-600-3442",
            "fax_number": "617-600-3448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERTOWN DENTISTRY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHELSEA FAMILY DENTAL",
        "enumeration_date": "2010-03-02",
        "last_updated": "2010-03-02",
        "status": "A",
        "authorized_official_last_name": "ATTIA",
        "authorized_official_first_name": "YOUSRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-600-3442",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MA",
            "license": "19968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2010; 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.