NPIMap

Organization Active NPI

Advantage Dental Oral Health Center of Massachusetts, PC

  • General Practice Dentistry
  • Westborough, MA
National Provider Identifier
1285284604
Registry record updated Mar 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ADVANTAGE DENTAL ORAL HEALTH CENTER OF MASSACHUSETTS, PC
Practice address
2400 Computer Dr
Westborough, MA 01581-1887
Phone
(508) 329-2250
Fax
(508) 329-2255
NPI assigned
Sep 17, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2023

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

Authorized official

Name
Jenell Stump
Title
Sr. Licensing & Credentialing
Phone
(615) 487-2916

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

2400 Computer Dr
Westborough, MA 01581-1887

Mailing address

2400 Computer Dr
Westborough, MA 01581-1887
Phone (508) 329-2250

Other names 1

  • ADVANTAGE DENTAL ORAL HEALTH CENTER Doing business as

National Provider Directory

National Provider Directory

Locations

2400 Computer Dr
Westborough, MA 01581
Phone (508) 210-2257

Practitioners & affiliated clinicians

Practitioners 7

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": "1568678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679875200000",
    "number": "1285284604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 COMPUTER DR",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015811887",
            "telephone_number": "508-329-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 COMPUTER DR",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015811887",
            "telephone_number": "508-329-2250",
            "fax_number": "508-329-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTAGE DENTAL ORAL HEALTH CENTER OF MASSACHUSETTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-17",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A",
        "authorized_official_last_name": "STUMP",
        "authorized_official_first_name": "JENELL",
        "authorized_official_title_or_position": "SR. LICENSING & CREDENTIALING",
        "authorized_official_telephone_number": "615-487-2916"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADVANTAGE DENTAL ORAL HEALTH CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westborough, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; 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.