NPIMap

Organization Active NPI

Union Dental Marlborough LLC

  • Dentist
  • Marlborough, MA
National Provider Identifier
1376901991
Registry record updated Feb 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN1856286 Issued in 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
Last updated
Feb 10, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
TONY TONG PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 10, 2016

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

Authorized official

Name
Dr. Tony TongNPI 1457796484
Title
President
Phone
(617) 888-4672

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DN1856286 MA Primary

Addresses

Primary practice location

126 Union Street
First Floor
Marlborough, MA 01752

Mailing address

117 Sherman Rd
Chestnut Hill, MA 02467-3181

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "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": []
}

Other providers in Marlborough, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2016; 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.