Chelmsford Modern Dentistry, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CHELMSFORD MODERN DENTISTRY, PC

Doing business as

Chelmsford Modern Dentistry

Practice address

117 Drum Hill Rd
Chelmsford, MA 01824-1505

Phone

(978) 674-8571

Fax

(978) 710-0832

NPI assigned

May 14, 2021

Last updated

May 14, 2021By 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

Robert Schroff

Title

Owner Doctor

Phone

(714) 845-8890

Specialties & licenses 1

Addresses

Other names 1

• CHELMSFORD MODERN DENTISTRY Doing business as

Locations

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

{
    "created_epoch": "1620950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620950400000",
    "number": "1548834567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17000 RED HILL AVE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926145626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 DRUM HILL RD",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018241505",
            "telephone_number": "978-674-8571",
            "fax_number": "978-710-0832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHELMSFORD MODERN DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-14",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A",
        "authorized_official_last_name": "SCHROFF",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "714-845-8890"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHELMSFORD MODERN DENTISTRY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chelmsford Dental Care LLC
• Chelmsford Dental Group PC
• Chelmsford Dental Specialists Group PC
• Chelmsford Dermatology, P.C.
• Chelmsford Family Chiropractic P.C.
• Chelmsford Optometric Associates PC
• Chelmsford Orthodontic Associates PC (Orthodontic Associates of New England)
• Chelmsford Pediatrics
• Chelmsford Primary Care, LLC
• Chelmsford VA Cmop

• General Practice Dentistry in Chelmsford, MA
• Providers in Chelmsford, 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 May 14, 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.