Pediatric Dental Specialist of Needham

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

PEDIATRIC DENTAL SPECIALIST OF NEEDHAM

Practice address

145 Rosemary St BLDG K
Needham, MA 02494-3238

Phone

(781) 343-1026

NPI assigned

Aug 26, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Annamarie Defeo, DDS

Title

Dentist

Phone

(781) 343-1026

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1566777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566777600000",
    "number": "1356998116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 CONCORD ST",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024941901",
            "telephone_number": "617-620-6721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 ROSEMARY ST BLDG K",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024943238",
            "telephone_number": "781-343-1026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC DENTAL SPECIALIST OF NEEDHAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-26",
        "last_updated": "2019-08-26",
        "status": "A",
        "authorized_official_last_name": "DEFEO",
        "authorized_official_first_name": "ANNAMARIE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "781-343-1026",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patriot Urgent Care Professionals, PC
• Caitlyn Patton, LICSW
• Sarah Covington Paulsen
• Wendy M Pearson
• Pediatria Healthcare, LLC
• Pediatric Psychological Services
• Ginnyrose Pellegrini, LICSW
• Alejandro Peralta Soler, MD
• Gracia B Perez-Lirio, M.D.
• Perfect Dental, LLC

• Dental Clinic/Center in Needham, MA
• Providers in Needham, 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 Aug 26, 2019; 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.