Wollaston Dental Group

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

WOLLASTON DENTAL GROUP

Practice address

628 Hancock St
Quincy, MA 02170-2004

Phone

(617) 479-8375

NPI assigned

Feb 3, 2025

Last updated

Feb 3, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Xiao Dong, DMDNPI 1609200377

Title

Owner

Phone

(617) 785-7929

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Xiao Dong, DMD

  • Dentist
  • North Providence, RI
  • NPI 1609200377
  NPD Authorized official

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

{
    "created_epoch": "1738540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738540800000",
    "number": "1386458081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "628 HANCOCK ST",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021702004",
            "telephone_number": "617-479-8375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 HANCOCK ST",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021702004",
            "telephone_number": "617-479-8375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOLLASTON DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-03",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A",
        "authorized_official_last_name": "DONG",
        "authorized_official_first_name": "XIAO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-785-7929",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamer Maherg Wisa, RPH
• Kathleen Mary Witoski, RN
• Dhafar Witwit, DMD
• Sarah N Wolford, PH.D.
• Wollaston Dental Care, Inc
• Wollaston Lutheran Church Apts. Dba Fenno House (Fenno House)
• Womens Wellness Oasis
• Jeanette Michelle Won, LMHC
• Julia Grace Wondrack
• Alan C Wong, M.D., M.P.H.

• Dental Clinic/Center in Quincy, MA
• Providers in Quincy, MA by specialty
• Dental Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; 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.