Organization Active NPI

Sudbury Dental Arts PC

  • Dental Clinic/Center
  • Sudbury, MA
National Provider Identifier
1538824875
Registry record updated Nov 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
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

Updated by the provider on Nov 2, 2021

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.