Organization Active NPI

Quincy Dental Associates LLC

  • Dentist
  • Quincy, MA
National Provider Identifier
1467868554
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
20980 Issued in MA
Legal business name
QUINCY DENTAL ASSOCIATES LLC
Practice address
234 Copeland Street
Suite 330
Quincy, MA 02169
Phone
(617) 773-2490
NPI assigned
Jul 9, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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

Authorized official

Name
Richard Miller, DMD
Title
President
Phone
(617) 921-6292

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 20980 MA Primary

Addresses

Primary practice location

234 Copeland Street
Suite 330
Quincy, MA 02169

Mailing address

234 Copeland St
Suite 330
Quincy, MA 02169-4081
Phone (617) 773-2490

Other practice location 1

300 Crown Colony Dr Ste 301
Quincy, MA 02169-0904
Phone (617) 472-1036

National Provider Directory

National Provider Directory

Locations

300 Crown Colony Dr
Ste 301
Quincy, MA 02169
Phone (617) 427-1036

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1404864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727740800000",
    "number": "1467868554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 COPELAND ST",
            "address_2": "SUITE 330",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021694081",
            "telephone_number": "617-773-2490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 COPELAND STREET",
            "address_2": "SUITE 330",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "02169",
            "telephone_number": "617-773-2490"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Crown Colony Dr Ste 301",
            "address_purpose": "LOCATION",
            "city": "Quincy",
            "state": "MA",
            "postal_code": "021690904",
            "country_code": "US",
            "telephone_number": "617-472-1036",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "QUINCY DENTAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-09",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-921-6292",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MA",
            "license": "20980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; 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.