NPIMap

Organization Active NPI

Amg Dental Group PC

Doing business as Advanced Dental Care or Quincy

  • General Practice Dentistry
  • Quincy, MA
National Provider Identifier
1336652270
Registry record updated Nov 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
AMG DENTAL GROUP PC
Doing business as
Advanced Dental Care or Quincy
Practice address
1255B Hancock St
Quincy, MA 02169-4342
Phone
(617) 773-4144
Fax
(617) 773-4144
NPI assigned
Nov 14, 2017
Last updated
Nov 14, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2017

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

Authorized official

Name
Ghazwan Ghazi, D.M.D. , MS
Title
Dentist
Phone
(617) 773-4144

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

1255B Hancock St
Quincy, MA 02169-4342

Mailing address

1255B Hancock St
Quincy, MA 02169-4342
Phone (617) 773-4144

Other names 1

  • Advanced Dental Care or Quincy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Amg Dental Group PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1510617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510617600000",
    "number": "1336652270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255B HANCOCK ST",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021694342",
            "telephone_number": "617-773-4144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255B HANCOCK ST",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021694342",
            "telephone_number": "617-773-4144",
            "fax_number": "617-773-4144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMG DENTAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-14",
        "last_updated": "2017-11-14",
        "status": "A",
        "authorized_official_last_name": "GHAZI",
        "authorized_official_first_name": "GHAZWAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "617-773-4144",
        "authorized_official_credential": "D.M.D. , MS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Dental Care or Quincy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Quincy, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2017; 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.