Organization Active NPI

Avita Dental Associates PLLC

  • General Practice Dentistry
  • Mashpee, MA
National Provider Identifier
1376440602
Registry record updated Oct 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
AVITA DENTAL ASSOCIATES PLLC
Practice address
96 Old Barnstable Rd
Mashpee, MA 02649-3296
Phone
(508) 477-0070
NPI assigned
Oct 21, 2026
Last updated
Oct 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2026

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

Authorized official

Name
Nicholas Theodore Papapetros II, DMD
Title
President
Phone
(978) 886-2678

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

96 Old Barnstable Rd
Mashpee, MA 02649-3296

Mailing address

15 Artisan Dr Unit 647
Salem, NH 03079-5026
Phone (508) 759-2724

National Provider Directory

National Provider Directory
Tax ID family
Avita Dental Associates PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1792540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792540800000",
    "number": "1376440602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 ARTISAN DR UNIT 647",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030795026",
            "telephone_number": "508-759-2724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 OLD BARNSTABLE RD",
            "city": "MASHPEE",
            "state": "MA",
            "postal_code": "026493296",
            "telephone_number": "508-477-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVITA DENTAL ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-21",
        "last_updated": "2026-10-21",
        "certification_date": "2026-10-21",
        "status": "A",
        "authorized_official_last_name": "PAPAPETROS",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "THEODORE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-886-2678",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mashpee, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2026; 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.