Molly Harrison Valli, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN1858713 Issued in MA

Practice address

292 Main St
Groton, MA 01450-1236

Phone

(978) 448-5241

NPI assigned

Mar 29, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Molly Miller Harrison Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Nov 16, 2016 through Nov 16, 2026

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Valli Dental Corporation

  • Dental Clinic/Center
  • Groton, MA
  • NPI 1407464928
  NPD

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

{
    "created_epoch": "1364515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614902400000",
    "number": "1396088290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "292 MAIN ST",
            "city": "GROTON",
            "state": "MA",
            "postal_code": "014501236",
            "telephone_number": "978-448-5241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "292 MAIN ST",
            "city": "GROTON",
            "state": "MA",
            "postal_code": "014501236",
            "telephone_number": "978-448-5241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLI",
        "first_name": "MOLLY",
        "middle_name": "HARRISON",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-29",
        "last_updated": "2021-03-05",
        "certification_date": "2021-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1858713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOLLY",
            "last_name": "HARRISON",
            "middle_name": "MILLER",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amir Sam Tiam, DMD
• Town of Groton
• Trustees of Tufts University (Tufts Dental Facility Groton)
• Valli Dental Corporation
• Marc Christopher Valli, D.M.D.
• Frank Joseph Vangeli, LICSW
• Margaret Jane Vangeli, LICSW
• Paula Christian Vaughan, PA-C
• John Thomas Walsh, LMHC
• Jade Wanger, MS, LAT, ATC

• Dentist in Groton, MA
• Providers in Groton, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.