NPIMap

Milford Smiles

Organization Active NPI General Practice Dentistry · Milford, MA

NPI 1497961874 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1497961874
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
License
19936 (MA)
Legal business name
MILFORD SMILES
Practice address
8 Asylum St
Milford, MA 01757-2203
Phone
(508) 473-7632
Fax
(508) 473-7234
NPI assigned
May 15, 2007
Organization subpart
No

Authorized official

Name
Dr. Theodore I. Goldberg, D.M.D. NPI 1619180957
Title
Owner
Phone
(508) 473-7632

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

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Milford Smiles (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193200000X MULTI-SPECIALTY GROUP		 1223G0001X 19936 MA Yes

Addresses

Primary practice location

8 Asylum St
Milford, MA 01757-2203

Mailing address

1 Lincoln Rd
Ashland, MA 01721-3018
Phone (508) 309-3147

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497961874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 LINCOLN RD",
            "city": "ASHLAND",
            "state": "MA",
            "postal_code": "017213018",
            "telephone_number": "508-309-3147",
            "fax_number": "508-473-7234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 ASYLUM ST",
            "city": "MILFORD",
            "state": "MA",
            "postal_code": "017572203",
            "telephone_number": "508-473-7632",
            "fax_number": "508-473-7234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILFORD SMILES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOLDBERG",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_middle_name": "I.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-473-7632",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "19936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, MA

All providers in Milford, MA · General Practice Dentistry in Massachusetts

Sources for this page

Verify at the official NPI Registry.