Oceanside Dental Associates, P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

17367 Issued in MA

Legal business name

OCEANSIDE DENTAL ASSOCIATES, P.C.

Practice address

440 Humphrey St.
Swampscott, MA 01907-2574

Phone

(781) 324-6997

NPI assigned

Apr 30, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Debbie Susan Eisen, D.M.D.NPI 1215947692

Title

Dentist

Phone

(781) 324-6997

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Debbie Susan Eisen, D.M.D.

  • General Practice Dentistry
  • Swampscott, MA
  • NPI 1215947692
  Authorized official Same address or phone

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

{
    "created_epoch": "1209513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209513600000",
    "number": "1306012380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 HUMPHREY ST",
            "city": "SWAMPSCOTT",
            "state": "MA",
            "postal_code": "019072574",
            "telephone_number": "781-324-6997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 HUMPHREY ST.",
            "city": "SWAMPSCOTT",
            "state": "MA",
            "postal_code": "019072574",
            "telephone_number": "781-324-6997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEANSIDE DENTAL ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-30",
        "last_updated": "2008-04-30",
        "status": "A",
        "authorized_official_last_name": "EISEN",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_middle_name": "SUSAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "781-324-6997",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "17367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Swampscott, MA
• Providers in Swampscott, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; 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.