NPIMap

Organization Active NPI

Davis Square Dental Specialists

Doing business as T Station Dental of Lynn

  • General Practice Dentistry
  • Lynn, MA
National Provider Identifier
1396204335
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DAVIS SQUARE DENTAL SPECIALISTS
Doing business as
T Station Dental of Lynn
Practice address
441 Chatham St
Lynn, MA 01902-2139
Phone
(781) 599-1177
NPI assigned
Mar 19, 2019
Last updated
Jun 11, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
DAVIS SQUARE DENTAL SPECIALISTSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Juliana Masiello
Title
Corporate Manager
Phone
(617) 591-9999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

441 Chatham St
Lynn, MA 01902-2139

Mailing address

30 College Ave
Somerville, MA 02144-1914
Phone (617) 591-9999

Other names 1

  • T Station Dental of Lynn Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Davis Square Dental Group6 organizations share this tax ID, including this one
Part of
Davis Square Dental Group

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1552953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1396204335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 COLLEGE AVE",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021441914",
            "telephone_number": "617-591-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 CHATHAM ST",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019022139",
            "telephone_number": "781-599-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIS SQUARE DENTAL SPECIALISTS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DAVIS SQUARE DENTAL SPECIALISTS",
        "enumeration_date": "2019-03-19",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "MASIELLO",
        "authorized_official_first_name": "JULIANA",
        "authorized_official_title_or_position": "CORPORATE MANAGER",
        "authorized_official_telephone_number": "617-591-9999"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "T Station Dental of Lynn",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lynn, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.