Organization Active NPI

Millerlung Dental Group

  • General Practice Dentistry
  • South Attleboro, MA
National Provider Identifier
1457547754
Registry record updated Sep 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
16607/17935 Issued in MA
Legal business name
MILLERLUNG DENTAL GROUP
Practice address
288 Highland Ave
South Attleboro, MA 02703-6846
Phone
(508) 399-8130
Fax
(508) 761-5280
NPI assigned
Sep 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2007

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

Authorized official

Name
Ms. Elizabeth M. Fanning
Title
Office Manager
Phone
(508) 399-8130

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 16607/17935 MA Primary

Addresses

Primary practice location

288 Highland Ave
South Attleboro, MA 02703-6846

Mailing address

288 Highland Ave
South Attleboro, MA 02703-6846
Phone (508) 399-8130

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190246400000",
    "number": "1457547754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "288 HIGHLAND AVE",
            "city": "SOUTH ATTLEBORO",
            "state": "MA",
            "postal_code": "027036846",
            "telephone_number": "508-399-8130",
            "fax_number": "508-761-5280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "288 HIGHLAND AVE",
            "city": "SOUTH ATTLEBORO",
            "state": "MA",
            "postal_code": "027036846",
            "telephone_number": "508-399-8130",
            "fax_number": "508-761-5280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLERLUNG DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-20",
        "last_updated": "2007-09-20",
        "status": "A",
        "authorized_official_last_name": "FANNING",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "508-399-8130",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "16607/17935",
            "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 Sep 20, 2007; 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.