Organization Active NPI

Advanced Dental Care Inc.

  • General Practice Dentistry
  • South Attleboro, MA
National Provider Identifier
1447551841
Registry record updated Nov 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN20318 Issued in MA
Legal business name
ADVANCED DENTAL CARE INC.
Practice address
720 Washington St
South Attleboro, MA 02703-6948
Phone
(508) 761-7700
Fax
(508) 761-5700
NPI assigned
Nov 16, 2010
Last updated
Nov 16, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2010

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

Authorized official

Name
Sridevi Boppana
Title
Owner
Phone
(508) 761-7700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN20318 MA Primary

Addresses

Primary practice location

720 Washington St
South Attleboro, MA 02703-6948

Mailing address

720 Washington St
South Attleboro, MA 02703-6948

National Provider Directory

National Provider Directory

Locations

720 Washington St
South Attleboro, MA 02703
Phone (508) 761-7700

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1289865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289865600000",
    "number": "1447551841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 WASHINGTON ST",
            "city": "SOUTH ATTLEBORO",
            "state": "MA",
            "postal_code": "027036948",
            "fax_number": "508-761-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 WASHINGTON ST",
            "city": "SOUTH ATTLEBORO",
            "state": "MA",
            "postal_code": "027036948",
            "telephone_number": "508-761-7700",
            "fax_number": "508-761-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED DENTAL CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-16",
        "last_updated": "2010-11-16",
        "status": "A",
        "authorized_official_last_name": "BOPPANA",
        "authorized_official_first_name": "SRIDEVI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-761-7700"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN20318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Attleboro, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.