Renew Dental P C

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

RENEW DENTAL P C

Practice address

1201 Main St
Tewksbury, MA 01876-4774

Phone

(978) 451-1500

Fax

(978) 451-1501

NPI assigned

Oct 12, 2020

Organization subpart

No

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

Authorized official

Name

James Wu, DDS

Title

Owner

Phone

(978) 451-1500

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Elaine Wu

  • General Practice Dentistry
  • Tewksbury, MA
  • NPI 1417581323
  NPD
• Daniel Jeong, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Tewksbury, MA
  • NPI 1922273036
  NPD (past)

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

{
    "created_epoch": "1602460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602460800000",
    "number": "1407454523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 MAIN ST",
            "city": "TEWKSBURY",
            "state": "MA",
            "postal_code": "018764774",
            "telephone_number": "978-451-1500",
            "fax_number": "978-451-1501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 MAIN ST",
            "city": "TEWKSBURY",
            "state": "MA",
            "postal_code": "018764774",
            "telephone_number": "978-451-1500",
            "fax_number": "978-451-1501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEW DENTAL P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-12",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A",
        "authorized_official_last_name": "WU",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-451-1500",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angie Viannet Ramos
• Kelly Lynne Ramos, MSN, CNP
• Andrea Regina, LICSW, M. ED.
• Rachel Dorothy Register, LICSW
• Lisa Evelyn Reinold, MSN, RN
• Mark Eugene Robbins, M.D.
• Roberts Chiropractic Health Care
• Edward G. Roberts, D.C.
• Joyann Robertson
• Jacqueline Rocheville

• Oral and Maxillofacial Surgery (Dentist) in Tewksbury, MA
• Providers in Tewksbury, MA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2020; 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.