MPGT Corp

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

18683 Issued in MA

Legal business name

MPGT CORP

Doing business as

NEW ENGLAND DENTAL GROUP

Practice address

661 Boston Post Rd E Ste C
Marlborough, MA 01752-3732

Phone

(508) 485-1114

Fax

(508) 480-8434

NPI assigned

Jan 17, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Gokulan Thiagarajah

Title

Vice-President

Phone

(508) 485-1114

Specialties & licenses 1

Addresses

Other names 1

• NEW ENGLAND DENTAL GROUP Doing business as

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656460800000",
    "number": "1568514883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "661C BOSTON POST RD E",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017523732",
            "telephone_number": "508-485-1114",
            "fax_number": "508-480-8434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "661 BOSTON POST RD E STE C",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017523732",
            "telephone_number": "508-485-1114",
            "fax_number": "508-480-8434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MPGT CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A",
        "authorized_official_last_name": "THIAGARAJAH",
        "authorized_official_first_name": "GOKULAN",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "508-485-1114",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "18683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEW ENGLAND DENTAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NEW ENGLAND DENTAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hania Vanessa Moubacher
• Jacob Mourtada
• Jason Moy
• Katherine Elizabeth Moynihan
• Jacqueline Madison Mozley, RBT
• Courtney A Muhammad
• Laura Mulcahy
• Catarina Muller
• Courtney Mullin
• Maureen Muluubu, RN

• General Practice Dentistry in Marlborough, MA
• Providers in Marlborough, 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 Jun 29, 2022; 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.