Active NPI
Millerlung Dental Group
- General Practice Dentistry
- South Attleboro, MA
National Provider Identifier
1457547754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 16607/17935
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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 DirectoryNPI 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.