Cosmetic & Family Dentistry of the North Shore, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

COSMETIC & FAMILY DENTISTRY OF THE NORTH SHORE, LLC

Practice address

128 Burrill St
Swampscott, MA 01907-1808

Phone

(781) 593-1180

Fax

(781) 581-1180

NPI assigned

May 27, 2021

Last updated

May 27, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bryan CousinNPI 1275648701

Title

Owner

Phone

(781) 593-1180

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bryan Phillip Cousin, DMD

  • General Practice Dentistry
  • Lynn, MA
  • NPI 1275648701
  NPD Authorized official

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

{
    "created_epoch": "1622073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622073600000",
    "number": "1427624808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 BURRILL ST",
            "city": "SWAMPSCOTT",
            "state": "MA",
            "postal_code": "019071808",
            "telephone_number": "781-593-1180",
            "fax_number": "781-581-1180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 BURRILL ST",
            "city": "SWAMPSCOTT",
            "state": "MA",
            "postal_code": "019071808",
            "telephone_number": "781-593-1180",
            "fax_number": "781-581-1180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSMETIC & FAMILY DENTISTRY OF THE NORTH SHORE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-27",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A",
        "authorized_official_last_name": "COUSIN",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-593-1180"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Cohen, MD
• Carlena Almanzar Colpitts, DMD
• Kimberly A Comeau, PA
• Community Based Services Corporation
• Miguel Angel Concepcion, M.D.
• Cosmetic and Family Dentistry of the North Shore PC
• Julianna Marie Covino, BCBA, LABA
• Nicole Elizabeth Cromwell, BSN, RN
• Maureen Cullinane
• CVS Clinic PLLC

• Dental Clinic/Center in Swampscott, MA
• Providers in Swampscott, MA by specialty
• Dental Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; 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.