Organization Active NPI

Neal M Novack DMD Inc. PC

  • Dental Clinic/Center
  • Holden, MA
National Provider Identifier
1366604282
Registry record updated Jul 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
14211 Issued in MA
Legal business name
NEAL M NOVACK DMD INC. PC
Practice address
1092 Main St
Holden, MA 01520-1247
Phone
(508) 829-2642
Fax
(508) 829-2618
NPI assigned
Jul 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2008

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

Authorized official

Name
Mrs. Lynn Novack
Title
Office Manager
Phone
(508) 829-2642

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 14211 MA Primary

Addresses

Primary practice location

1092 Main St
Holden, MA 01520-1247

Mailing address

1092 Main St
Holden, MA 01520-1247
Phone (508) 829-2642

Other names 1

  • Holden Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

1092 Main St
Holden, MA 01520
Phone (508) 319-1578

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1214870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214870400000",
    "number": "1366604282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1092 MAIN ST",
            "city": "HOLDEN",
            "state": "MA",
            "postal_code": "015201247",
            "telephone_number": "508-829-2642",
            "fax_number": "508-829-2618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1092 MAIN ST",
            "city": "HOLDEN",
            "state": "MA",
            "postal_code": "015201247",
            "telephone_number": "508-829-2642",
            "fax_number": "508-829-2618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEAL M NOVACK DMD INC. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-01",
        "last_updated": "2008-07-01",
        "status": "A",
        "authorized_official_last_name": "NOVACK",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "508-829-2642",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MA",
            "license": "14211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holden Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Holden, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2008; 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.