Dr. Dental of Endicott Plaza, PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

20485 Issued in MA

Legal business name

DR. DENTAL OF ENDICOTT PLAZA, PC

Practice address

139 Endicott St
Danvers, MA 01923-4803

Phone

(617) 887-2100

Fax

(617) 887-2102

NPI assigned

Apr 13, 2011

Organization subpart

No

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

Authorized official

Name

Julia O Faigel, DMD

Title

DMD / Owner

Phone

(617) 887-2100

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1302652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302652800000",
    "number": "1306136106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 ENDICOTT ST",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019234803",
            "telephone_number": "617-887-2100",
            "fax_number": "617-887-2102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 ENDICOTT ST",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019234803",
            "telephone_number": "617-887-2100",
            "fax_number": "617-887-2102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. DENTAL OF ENDICOTT PLAZA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-13",
        "last_updated": "2011-04-13",
        "status": "A",
        "authorized_official_last_name": "FAIGEL",
        "authorized_official_first_name": "JULIA",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "DMD / OWNER",
        "authorized_official_telephone_number": "617-887-2100",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MA",
            "license": "20485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9794395",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen P Down, LIC. AC.
• Victoria J Downes, M.A.
• Kathryn Dixon Doyle, MSED
• Matthew G Doyle, LICSW
• Dr. Alan M. Ogrady DDS PC
• Dr. Jeanine Elizabeth, LLC
• Dr. Schrott Dental Group
• Ariana Dragani, LADC II
• Gina Marie Drakos, EDM
• Sara Dranetz, PT

• Dental Clinic/Center in Danvers, MA
• Providers in Danvers, MA by specialty
• Dental Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2011; 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.