NPIMap

Organization Active NPI

Prime Smile Dental Group PC

  • General Practice Dentistry
  • Marlborough, MA
National Provider Identifier
1275974354
Registry record updated Jul 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
19617 Issued in MA
Legal business name
PRIME SMILE DENTAL GROUP PC
Practice address
530 Boston Post Rd E
Suite D
Marlborough, MA 01752-3645
Phone
(508) 481-8094
Fax
(508) 481-8478
NPI assigned
Jul 17, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2013

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

Authorized official

Name
Mojgan Rahimi, DMD
Title
Owner
Phone
(508) 481-8094

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 19617 MA Primary

Addresses

Primary practice location

530 Boston Post Rd E
Suite D
Marlborough, MA 01752-3645

Mailing address

530 Boston Post Rd E
Suite D
Marlborough, MA 01752-3645
Phone (508) 481-8094

National Provider Directory

National Provider Directory

Locations

530 Boston Post Rd E
Ste D
Marlborough, MA 01752
Phone (508) 481-8094

Practitioners & affiliated clinicians

Practitioners 2

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": "1374019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374019200000",
    "number": "1275974354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 BOSTON POST RD E",
            "address_2": "SUITE D",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017523645",
            "telephone_number": "508-481-8094",
            "fax_number": "508-481-8478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 BOSTON POST RD E",
            "address_2": "SUITE D",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017523645",
            "telephone_number": "508-481-8094",
            "fax_number": "508-481-8478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME SMILE DENTAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-17",
        "last_updated": "2013-07-17",
        "status": "A",
        "authorized_official_last_name": "RAHIMI",
        "authorized_official_first_name": "MOJGAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-481-8094",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "19617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlborough, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2013; 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.