Union Dental Marlborough LLC

Key facts

NPI

1376901991

Entity type

Organization (NPI type 2)

Primary specialty

Dentist 122300000X

License

DN1856286 (MA)

Legal business name

UNION DENTAL MARLBOROUGH LLC

Practice address

126 Union Street
First Floor
Marlborough, MA 01752

Phone

(508) 481-4200

Fax

(508) 481-4242

NPI assigned

Feb 10, 2016

Organization subpart

Yes

Parent organization (as reported)

TONY TONG PC

Authorized official

Name

Dr. Tony Tong NPI 1457796484

Title

President

Phone

(617) 888-4672

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 2

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

• Tony Haoyu Tong General Practice Dentistry · Marlborough, MA · NPI 1457796484
  NPD (past) Authorized official
• Rachel Iuster Snook, DDS General Practice Dentistry · Marlborough, MA · NPI 1598259129
  NPD (past)

National Provider Directory

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 10, 2016.

{
    "created_epoch": "1455062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455062400000",
    "number": "1376901991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 SHERMAN RD",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024673181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 UNION STREET",
            "address_2": "FIRST FLOOR",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "01752",
            "telephone_number": "508-481-4200",
            "fax_number": "508-481-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNION DENTAL MARLBOROUGH LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TONY TONG PC",
        "enumeration_date": "2016-02-10",
        "last_updated": "2016-02-10",
        "status": "A",
        "authorized_official_last_name": "TONG",
        "authorized_official_first_name": "TONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-888-4672",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1856286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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