Wareham Family Dental, Inc.

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

WAREHAM FAMILY DENTAL, INC.

Practice address

108 High St
Wareham, MA 02571-2052

Phone

(508) 295-7476

NPI assigned

Jan 25, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Yaser John Wehbe, D.M.D.

Title

Owner-President

Phone

(508) 295-7476

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1295913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295913600000",
    "number": "1417252289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 HIGH ST",
            "city": "WAREHAM",
            "state": "MA",
            "postal_code": "025712052",
            "telephone_number": "508-295-7476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 HIGH ST",
            "city": "WAREHAM",
            "state": "MA",
            "postal_code": "025712052",
            "telephone_number": "508-295-7476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAREHAM FAMILY DENTAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-25",
        "last_updated": "2011-01-25",
        "status": "A",
        "authorized_official_last_name": "WEHBE",
        "authorized_official_first_name": "YASER",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER-PRESIDENT",
        "authorized_official_telephone_number": "508-295-7476",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2011; 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.