NPIMap

Organization Active NPI

Canton Dental Group

  • Dentist
  • Canton, MA
National Provider Identifier
1487869277
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
CANTON DENTAL GROUP
Practice address
608 Washington St
Canton, MA 02021-3032
Phone
(781) 828-1788
Fax
(781) 828-2788
NPI assigned
May 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Ghazwan F Ghazi, DMDNPI 1659443869
Title
President
Phone
(781) 828-1788

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

608 Washington St
Canton, MA 02021-3032

Mailing address

608 Washington St
Canton, MA 02021-3032
Phone (781) 828-1788

National Provider Directory

National Provider Directory

Locations

608 Washington St
Canton, MA 02021
Phone (617) 462-3780

Practitioners & affiliated clinicians

Practitioners 3

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": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487869277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 WASHINGTON ST",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020213032",
            "telephone_number": "781-828-1788",
            "fax_number": "781-828-2788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 WASHINGTON ST",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020213032",
            "telephone_number": "781-828-1788",
            "fax_number": "781-828-2788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANTON DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GHAZI",
        "authorized_official_first_name": "GHAZWAN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-828-1788",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.