North Billerica Smiles, LLC.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DN1856006 Issued in MA

Legal business name

NORTH BILLERICA SMILES, LLC.

Practice address

315 Boston Rd
North Billerica, MA 01862-2635

Phone

(978) 804-3641

NPI assigned

Apr 6, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Matthew Richard Annese, DMD

Title

Owner

Phone

(978) 804-3641

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1522972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522972800000",
    "number": "1356848402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 DERBY ST",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017423038",
            "telephone_number": "978-804-3641",
            "fax_number": "978-425-4503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 BOSTON RD",
            "city": "NORTH BILLERICA",
            "state": "MA",
            "postal_code": "018622635",
            "telephone_number": "978-804-3641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH BILLERICA SMILES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-06",
        "last_updated": "2018-04-06",
        "status": "A",
        "authorized_official_last_name": "ANNESE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-804-3641",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MA",
            "license": "DN1856006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in North Billerica, MA
• Providers in North Billerica, 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 6, 2018; 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.