Mass Ave Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MASS AVE DENTAL

Practice address

312 Mass Ave
Lunenburg, MA 01462-1219

Phone

(978) 582-0800

Fax

(978) 582-6400

NPI assigned

Mar 27, 2008

Last updated

Mar 27, 2008By 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

Ahmed El SamraNPI 1346395670

Title

Dentist

Phone

(978) 582-0800

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ahmed H. El-Samra, D.M.D.

  • Dentist
  • Lunenburg, MA
  • NPI 1346395670
  NPD (past) Authorized official
• Alaa Ahmed, DMD

  • Dentist
  • Lunenburg, MA
  • NPI 1932331287
  NPD (past)
• Ronald Vereen Jr.

  • Developmental Therapist
  • Leominster, MA
  • NPI 1659912053
  NPD (past)

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206576000000",
    "number": "1518139724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 MASS AVE",
            "city": "LUNENBURG",
            "state": "MA",
            "postal_code": "014621219",
            "telephone_number": "978-582-0800",
            "fax_number": "978-582-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 MASS AVE",
            "city": "LUNENBURG",
            "state": "MA",
            "postal_code": "014621219",
            "telephone_number": "978-582-0800",
            "fax_number": "978-582-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASS AVE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-27",
        "last_updated": "2008-03-27",
        "status": "A",
        "authorized_official_last_name": "EL SAMRA",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "978-582-0800"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9793992",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kara Manchester, PHARMD
• Michael Anthony Mandella, MA LIC 99
• Kelly Manning
• Jaime Lynn Marino
• Martha L. Neely DMD PC
• Cyan Skye Mastroianni
• Andrew McGlame
• Mary Ellen McKenna, PHYSICAL THERAPIST
• Ana Medeiros
• Danielle Melvin, LPN

• General Practice Dentistry in Lunenburg, MA
• Providers in Lunenburg, 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 27, 2008; 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.