NPIMap

Organization Active NPI

Grace Dental P.C.

  • Dentist
  • Framingham, MA
National Provider Identifier
1407877541
Registry record updated Nov 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
20011 Issued in MA
Legal business name
GRACE DENTAL P.C.
Practice address
55 Main St
Suite #5
Framingham, MA 01702-2934
Phone
(508) 875-0400
Fax
(508) 875-0408
NPI assigned
Jul 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2010

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

Authorized official

Name
Dr. Mark A Hanna, D.M.D.
Title
President/Owner
Phone
(508) 875-0400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 20011 MA Primary

Addresses

Primary practice location

55 Main St
Suite #5
Framingham, MA 01702-2934

Mailing address

55 Main St
Suite #5
Framingham, MA 01702-2934
Phone (508) 875-0400

National Provider Directory

National Provider Directory

Locations

55 Main St
Ste 5
Framingham, MA 01702
Phone (508) 875-0400

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288742400000",
    "number": "1407877541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 MAIN ST",
            "address_2": "SUITE #5",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017022934",
            "telephone_number": "508-875-0400",
            "fax_number": "508-875-0408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 MAIN ST",
            "address_2": "SUITE #5",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017022934",
            "telephone_number": "508-875-0400",
            "fax_number": "508-875-0408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE DENTAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2010-11-03",
        "status": "A",
        "authorized_official_last_name": "HANNA",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "508-875-0400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MA",
            "license": "20011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Framingham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2010; 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.