Andrey Mazo DMD PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

18643 Issued in MA

Legal business name

ANDREY MAZO DMD PC

Practice address

44 Front St
Worcester, MA 01608-1733

Phone

(508) 753-9200

NPI assigned

Jun 13, 2013

Last updated

Jun 13, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Andrey MazoNPI 1447377882

Title

President

Phone

(617) 285-6414

Specialties & licenses 1

Addresses

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.

• Andrey Mazo, D.M.D.

  • General Practice Dentistry
  • Westborough, MA
  • NPI 1447377882
  NPD (past) Authorized official

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

{
    "created_epoch": "1371081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371081600000",
    "number": "1316385214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 OTIS ST",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015813315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 FRONT ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016081733",
            "telephone_number": "508-753-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREY MAZO DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-13",
        "last_updated": "2013-06-13",
        "status": "A",
        "authorized_official_last_name": "MAZO",
        "authorized_official_first_name": "ANDREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-285-6414"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "18643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mia Andresen Roumia, PA-C
• Krystof Andress, M.D.
• Whitney Andrew
• Mark Andrews Jr., M.D.
• Sarah Andrews
• Julia D Andrieni, M.D.
• Rachel K. Androphy, M.D.
• Anesthesia Practice and Research Associates
• Gustavo G. Angaramo, MD
• Dahiana Angel

• General Practice Dentistry in Worcester, MA
• Providers in Worcester, 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 Jun 13, 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.