Centre Street Family Dental PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CENTRE STREET FAMILY DENTAL PC

Practice address

729 Centre St
Jamaica Plain, MA 02130-2520

Phone

(617) 524-1110

NPI assigned

Jul 2, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Joseph Casey

Title

Manager

Phone

(203) 415-7460

Specialties & licenses 1

Addresses

Practitioners 2

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

• Olivia Shaogiang Guo, DDS

  • Dentist
  • Jamaica Plain, MA
  • NPI 1902055700
  NPD (past)
• Amy Yeh, DMD

  • General Practice Dentistry
  • Jamaica Plain, MA
  • NPI 1740801257
  NPD (past)

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1376705178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 CENTRE ST",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021302520",
            "telephone_number": "617-524-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 CENTRE ST",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021302520",
            "telephone_number": "617-524-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRE STREET FAMILY DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-02",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "CASEY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "203-415-7460",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Cavanaugh
• Clare S Cecil-Karb, MSW
• Maribel Cedeno, BA
• Ciara M Celestin
• Centre Street Dental Care
• Centre Street Rehabiilitation, Inc.
• Rosanne Catherine Cerri, MOT, OTR/L
• Martha Cesena, M.D.
• Jasmine Altagracia Cespedes Mejia
• Lisa A Cesso

• General Practice Dentistry in Jamaica Plain, MA
• Providers in Jamaica Plain, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.