NPIMap

Organization Active NPI

Metrowest Dental Group

  • General Practice Dentistry
  • Milford, MA
National Provider Identifier
1336301522
Registry record updated Jun 28, 2008
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Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
19429 Issued in MA
Legal business name
METROWEST DENTAL GROUP
Practice address
16 Congress St
M1
Milford, MA 01757-2414
Phone
(508) 482-0000
NPI assigned
Jun 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2008

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

Authorized official

Name
Dr. Raj Dulala, B.D.S.,D.M.D.
Title
Owner
Phone
(508) 482-0000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 19429 MA Primary

Addresses

Primary practice location

16 Congress St
M1
Milford, MA 01757-2414

Mailing address

16 Congress St
M1
Milford, MA 01757-2414
Phone (508) 482-0000

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1214611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214611200000",
    "number": "1336301522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 CONGRESS ST",
            "address_2": "M1",
            "city": "MILFORD",
            "state": "MA",
            "postal_code": "017572414",
            "telephone_number": "508-482-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 CONGRESS ST",
            "address_2": "M1",
            "city": "MILFORD",
            "state": "MA",
            "postal_code": "017572414",
            "telephone_number": "508-482-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROWEST DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-28",
        "last_updated": "2008-06-28",
        "status": "A",
        "authorized_official_last_name": "DULALA",
        "authorized_official_first_name": "RAJ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-482-0000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "B.D.S.,D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "19429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.