Active NPI
Sudbury Dental Arts PC
- Dental Clinic/Center
- Sudbury, MA
National Provider Identifier
1538824875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- SUDBURY DENTAL ARTS PC
- Practice address
- 144 North Rd Ste 2125
Sudbury, MA 01776-1171 - Phone
- (617) 596-6323
- NPI assigned
- Nov 2, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alaa Ahmed
- Title
- Treasurer
- Phone
- (617) 596-6323
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
144 North Rd Ste 2125
Sudbury, MA 01776-1171
Mailing address
5 Kerrigan Way
Woburn, MA 01801-4043
Phone (617) 596-6323
National Provider Directory
National Provider DirectoryLocations
144 North Rd
Ste 2125
Sudbury, MA 01776
Phone (617) 596-6323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635811200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1635811200000",
"number": "1538824875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 KERRIGAN WAY",
"city": "WOBURN",
"state": "MA",
"postal_code": "018014043",
"telephone_number": "617-596-6323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "144 NORTH RD STE 2125",
"city": "SUDBURY",
"state": "MA",
"postal_code": "017761171",
"telephone_number": "617-596-6323"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUDBURY DENTAL ARTS PC",
"organizational_subpart": "NO",
"enumeration_date": "2021-11-02",
"last_updated": "2021-11-02",
"certification_date": "2021-11-02",
"status": "A",
"authorized_official_last_name": "AHMED",
"authorized_official_first_name": "ALAA",
"authorized_official_title_or_position": "TREASURER",
"authorized_official_telephone_number": "617-596-6323"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sudbury, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.