Organization Active NPI

New Smile Family Dental, P.C.

  • General Practice Dentistry
  • Stoneham, MA
National Provider Identifier
1437426475
Registry record updated Nov 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN1855432 Issued in MA
Legal business name
NEW SMILE FAMILY DENTAL, P.C.
Practice address
62 Montvale Ave
K
Stoneham, MA 02180-3637
Phone
(781) 481-9004
NPI assigned
Nov 18, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2011

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

Authorized official

Name
Dr. Yan Sun, DMD
Title
Dentist
Phone
(781) 481-9004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DN1855432 MA Primary

Addresses

Primary practice location

62 Montvale Ave
K
Stoneham, MA 02180-3637

Mailing address

62 Montvale Ave
K
Stoneham, MA 02180-3637

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1321574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321574400000",
    "number": "1437426475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 MONTVALE AVE",
            "address_2": "K",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021803637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 MONTVALE AVE",
            "address_2": "K",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021803637",
            "telephone_number": "781-481-9004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW SMILE FAMILY DENTAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-18",
        "last_updated": "2011-11-18",
        "status": "A",
        "authorized_official_last_name": "SUN",
        "authorized_official_first_name": "YAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "781-481-9004",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1855432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stoneham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.