NPIMap

Organization Active NPI

Premier Family Dental Care, PLLC

  • Dentist
  • Tewksbury, MA
National Provider Identifier
1336563568
Registry record updated Feb 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN1855978 Issued in MA
Legal business name
PREMIER FAMILY DENTAL CARE, PLLC
Practice address
850 Main St
Tewksbury, MA 01876-1848
Phone
(978) 851-2621
NPI assigned
Feb 7, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2014

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

Authorized official

Name
Dr. Nina Oh, DMD
Title
Dentist
Phone
(617) 529-5928

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X DN1855978 MA Primary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X DN1855978 MA

Addresses

Primary practice location

850 Main St
Tewksbury, MA 01876-1848

Mailing address

850 Main St
Tewksbury, MA 01876-1848
Phone (978) 851-2621

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1391731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392076800000",
    "number": "1336563568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 MAIN ST",
            "city": "TEWKSBURY",
            "state": "MA",
            "postal_code": "018761848",
            "telephone_number": "978-851-2621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 MAIN ST",
            "city": "TEWKSBURY",
            "state": "MA",
            "postal_code": "018761848",
            "telephone_number": "978-851-2621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER FAMILY DENTAL CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-07",
        "last_updated": "2014-02-11",
        "status": "A",
        "authorized_official_last_name": "OH",
        "authorized_official_first_name": "NINA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "617-529-5928",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1855978",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1855978",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tewksbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2014; 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.