Organization Active NPI

John L Guerin D.M.D PC

  • General Practice Dentistry
  • Tewksbury, MA
National Provider Identifier
1477738912
Registry record updated Jan 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
18597 Issued in MA
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2008

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.