Dracut Family Dentistry LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DRACUT FAMILY DENTISTRY LLC

Practice address

14 Loon Hill Rd
Dracut, MA 01826-4015

Phone

(978) 223-3742

NPI assigned

Sep 24, 2018

Organization subpart

No

Name

Dr. Anna Pukhovitskaya, DMD

Title

Manager

Phone

(978) 223-3742

• Dracut Family Dentistry Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 24, 2018.

{
    "created_epoch": "1537747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537747200000",
    "number": "1508340654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 LOON HILL RD",
            "city": "DRACUT",
            "state": "MA",
            "postal_code": "018264015",
            "telephone_number": "978-223-3742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 LOON HILL RD",
            "city": "DRACUT",
            "state": "MA",
            "postal_code": "018264015",
            "telephone_number": "978-223-3742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRACUT FAMILY DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-24",
        "last_updated": "2018-09-24",
        "status": "A",
        "authorized_official_last_name": "PUKHOVITSKAYA",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "978-223-3742",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dracut Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Kerri Ducharme
• Joseph M. Dulac, MD
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• Rabiah Dys, PHARMD

• All providers in Dracut, MA
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2018; 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.