Legacy Dental PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

LEGACY DENTAL PC

Practice address

409 Pond St Ste 7
Braintree, MA 02184-6853

Phone

(781) 843-7570

Fax

(781) 843-3574

NPI assigned

Dec 1, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Earl R Marrow III, DMDNPI 1649494535

Title

Dentist

Phone

(781) 843-7570

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Earl R Marrow III, D.M.D.

  • General Practice Dentistry
  • Braintree, MA
  • NPI 1649494535
  NPD Authorized official

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

{
    "created_epoch": "1606780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606780800000",
    "number": "1336744127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 POND ST STE 7",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021846853",
            "telephone_number": "781-843-7570",
            "fax_number": "781-843-3574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 POND ST STE 7",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021846853",
            "telephone_number": "781-843-7570",
            "fax_number": "781-843-3574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-01",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A",
        "authorized_official_last_name": "MARROW",
        "authorized_official_first_name": "EARL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "781-843-7570",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nichole Leary
• Carol A. Leavell, PH.D.
• Pamela J Leblanc, OTR/L
• Christie Antonya Lebrun
• Sierra Danielle Leek, BCBA
• Allison Leikam, RN, MSN, AGPCNP-BC
• Morgann Lentine, DOULA
• Leonard G. Cuscianna DDS
• Madeline Nicole Leonard, MA
• Stori Levarity

• Dentist in Braintree, MA
• Providers in Braintree, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; 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.