Organization Active NPI

Excellence Dental Care PLLC

  • Dental Clinic/Center
  • Needham, MA
National Provider Identifier
1407681364
Registry record updated Sep 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
EXCELLENCE DENTAL CARE PLLC
Practice address
1116 Great Plain Ave Ste 102
Needham, MA 02492-2344
Phone
(857) 540-8367
NPI assigned
Sep 2, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2024

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

Authorized official

Name
Dr. Evis Myftiu, DMDNPI 1952918187
Title
General Dentist
Phone
(857) 559-3507

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1116 Great Plain Ave Ste 102
Needham, MA 02492-2344

Mailing address

1116 Great Plain Ave Ste 102
Needham, MA 02492-2344
Phone (857) 540-8367

National Provider Directory

National Provider Directory

Locations

1116 Great Plain Ave
Ste 102
Needham, MA 02492
Phone (857) 540-8367

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1725235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725235200000",
    "number": "1407681364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1116 GREAT PLAIN AVE STE 102",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024922344",
            "telephone_number": "857-540-8367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 GREAT PLAIN AVE STE 102",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024922344",
            "telephone_number": "857-540-8367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELLENCE DENTAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-02",
        "last_updated": "2024-09-02",
        "certification_date": "2024-09-02",
        "status": "A",
        "authorized_official_last_name": "MYFTIU",
        "authorized_official_first_name": "EVIS",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "857-559-3507",
        "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": []
}

Other providers in Needham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2024; 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.