Westboro Dental Associates, P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

14354 Issued in MA

Legal business name

WESTBORO DENTAL ASSOCIATES, P.C.

Practice address

33 Lyman Street Suite 203a
Westboro, MA 01581

Phone

(508) 366-0550

NPI assigned

Jan 2, 2009

Last updated

Jan 2, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Richard A. Ball

Title

Owner

Phone

(508) 366-0550

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1230854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230854400000",
    "number": "1497991095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 LYMAN ST STE 203A",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015811443",
            "telephone_number": "508-366-0550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 LYMAN STREET SUITE 203A",
            "city": "WESTBORO",
            "state": "MA",
            "postal_code": "01581",
            "telephone_number": "508-366-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTBORO DENTAL ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-02",
        "last_updated": "2009-01-02",
        "status": "A",
        "authorized_official_last_name": "BALL",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-366-0550"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "14354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith M Tully, LICSW
• Robert R Vallee, DMD
• Melissa Linda Vernon, COTA-L
• Kenneth R Webb, DMD
• Amanda Jean West, PT
• Shirley J Williams, LICSW
• Evelyn Pfeifer Wright, LICSW

• General Practice Dentistry in Westboro, MA
• Providers in Westboro, 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 Jan 2, 2009; 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.