Premier Dental of Quincy

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

20518 Issued in MA

Legal business name

PREMIER DENTAL OF QUINCY

Doing business as

Premier Dental

Practice address

611 Adams St
Quincy, MA 02169-1319

Phone

(617) 479-9191

NPI assigned

Mar 29, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Yaser John Wehbe, DMD

Title

Predident

Phone

(617) 479-9191

Specialties & licenses 1

Addresses

Other names 1

• PREMIER DENTAL Doing business as

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

{
    "created_epoch": "1332979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332979200000",
    "number": "1487920880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 ADAMS ST",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021691319",
            "telephone_number": "617-479-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 ADAMS ST",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021691319",
            "telephone_number": "617-479-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER DENTAL OF QUINCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-29",
        "last_updated": "2012-03-29",
        "status": "A",
        "authorized_official_last_name": "WEHBE",
        "authorized_official_first_name": "YASER",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PREDIDENT",
        "authorized_official_telephone_number": "617-479-9191",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "20518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PREMIER DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Evelyn Carol Powell
• Tara Lee Powell, RN
• Pratt Medical Group, Inc (Pratt Medical Group, Inc-Quincy/Hyde Park Associates)
• Peter Michael Preble
• Prelogix Mobility Services LLC
• Premium Community Services
• Presidential Healthcare at Home LLC
• Presidential Home Health Care LLC
• Abraham Marthinus Pretorius, DMD
• Preventive Medicine Associates (Quincy International Health Center)

• General Practice Dentistry in Quincy, MA
• Providers in Quincy, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2012; 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.