Active NPI
John L Guerin D.M.D PC
- General Practice Dentistry
- Tewksbury, MA
National Provider Identifier
1477738912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 18597
- Legal business name
- JOHN L GUERIN D.M.D PC
- Practice address
- 2171 Main St
Tewksbury, MA 01876-3028 - Phone
- (978) 988-1298
- NPI assigned
- Jan 3, 2008
- Last updated
- Jan 3, 2008
- 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
- Dr. John Loius Guerin, D.M.D.
- Title
- Dentist / Owner
- Phone
- (978) 988-1298
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 18597 | MA | Primary |
Addresses
Primary practice location
2171 Main St
Tewksbury, MA 01876-3028
Mailing address
2171 Main St
Tewksbury, MA 01876-3028
Phone (978) 988-1298
National Provider Directory
National Provider DirectoryLocations
2171 Main St
Tewksbury, MA 01876
Phone (978) 658-9931
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199318400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1199318400000",
"number": "1477738912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2171 MAIN ST",
"city": "TEWKSBURY",
"state": "MA",
"postal_code": "018763028",
"telephone_number": "978-988-1298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2171 MAIN ST",
"city": "TEWKSBURY",
"state": "MA",
"postal_code": "018763028",
"telephone_number": "978-988-1298"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN L GUERIN D.M.D PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-03",
"last_updated": "2008-01-03",
"status": "A",
"authorized_official_last_name": "GUERIN",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "LOIUS",
"authorized_official_title_or_position": "DENTIST / OWNER",
"authorized_official_telephone_number": "978-988-1298",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.M.D."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MA",
"license": "18597",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tewksbury, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.