Gio Dental at Station Landing

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DN21444 Issued in MA

Legal business name

GIO DENTAL AT STATION LANDING

Practice address

8 Earhart LNDG
Medford, MA 02155-4964

Phone

(617) 388-7727

NPI assigned

Jun 27, 2016

Organization subpart

No

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

Authorized official

Name

Farshad Ghobbeh, D.M.D

Title

President

Phone

(617) 388-7727

Specialties & licenses 1

Addresses

Other names 1

• First Dental at Station Landing, LLC Former legal business name

Locations

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

{
    "created_epoch": "1466985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467158400000",
    "number": "1487005914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 EARHART LNDG",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021554964",
            "telephone_number": "617-388-7727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 EARHART LNDG",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021554964",
            "telephone_number": "617-388-7727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIO DENTAL AT STATION LANDING",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-27",
        "last_updated": "2016-06-29",
        "status": "A",
        "authorized_official_last_name": "GHOBBEH",
        "authorized_official_first_name": "FARSHAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-388-7727",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MA",
            "license": "DN21444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "First Dental at Station Landing, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Anthony Giamberardino, DMD
• Kelly Giaquinto, MS
• Harris Gibson Jr., M.D.
• Jason M Gilbert, MD
• Gilbertlahey LLC
• Meredith Gioia
• Marianne Rose Giurleo, P.T.
• Jill K Glashow, LCSW
• Kyra Gleason
• Michael L Glenn, M.D.

• Dental Clinic/Center in Medford, MA
• Providers in Medford, MA by specialty
• Dental Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2016; 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.