Ny Dental PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DN1855745 Issued in MA

Legal business name

NY DENTAL PC

Doing business as

Bliss Dental

Practice address

83 Cambridge St Ste 3a
Burlington, MA 01803-4181

Phone

(781) 265-4500

Fax

(781) 265-4246

NPI assigned

Mar 30, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Natasha S Yegorov, DMDNPI 1568740967

Title

President

Phone

(917) 753-8444

Specialties & licenses 1

Addresses

Other names 1

• Bliss Dental Doing business as

Locations

Practitioners 1

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

• Natasha S Yegorov, DMD

  • Dentist
  • Burlington, MA
  • NPI 1568740967
  NPD Authorized official

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

{
    "created_epoch": "1459296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459468800000",
    "number": "1356704266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 CAMBRIDGE ST STE 3A",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018034181",
            "telephone_number": "781-265-4500",
            "fax_number": "781-265-4246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 CAMBRIDGE ST STE 3A",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018034181",
            "telephone_number": "781-265-4500",
            "fax_number": "781-265-4246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NY DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-30",
        "last_updated": "2016-04-01",
        "status": "A",
        "authorized_official_last_name": "YEGOROV",
        "authorized_official_first_name": "NATASHA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-753-8444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MA",
            "license": "DN1855745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bliss Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carla K Novaleski, PAC
• Eden Nsangi, RN
• Francis Nugent, M.D.
• Kara Nugent, MD
• Kristen Nuspl, PA-C
• Maureen Marie O'Brien, M.D.
• Pamela J. O'Brien, N.P.
• Sara O'Brien, RD
• Alison O'Connell, LICSW
• Christian Fernando O'Conner, MD

• Dental Clinic/Center in Burlington, MA
• Providers in Burlington, MA by specialty
• Dental Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2016; 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.