Southcoast Community Dental Care

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DH13264 Issued in MA

Legal business name

SOUTHCOAST COMMUNITY DENTAL CARE

Practice address

603 New Bedford Rd
Rochester, MA 02770-4125

Phone

(774) 451-2067

NPI assigned

Dec 16, 2013

Organization subpart

No

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

Authorized official

Name

Melissa Leite

Title

Owner

Phone

(774) 451-2067

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1387152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387152000000",
    "number": "1598186645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 NEW BEDFORD RD",
            "address_2": "PO BOX 22",
            "city": "ROCHESTER",
            "state": "MA",
            "postal_code": "027704125",
            "telephone_number": "774-451-2067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 NEW BEDFORD RD",
            "city": "ROCHESTER",
            "state": "MA",
            "postal_code": "027704125",
            "telephone_number": "774-451-2067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHCOAST COMMUNITY DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-16",
        "last_updated": "2013-12-16",
        "status": "A",
        "authorized_official_last_name": "LEITE",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "774-451-2067"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MA",
            "license": "DH13264",
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MA",
            "license": "DH14025",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daevyn Marae Silva
• Daniel Varela Silva
• Marjorie Anne Skrutski, L.M.T. N.C.L.M.T.
• Marie Jean Slowe
• Barbara Franconi Smith, LICSW
• Kelley Steele
• Sheikira Nadina Stelmark
• Gretchen Ann Sullivan, MA, LMHC
• Susanna Sylvia Licsw LLC
• Stephani Lynne Taber, R.N.

• Dental Clinic/Center in Rochester, MA
• Providers in Rochester, MA by specialty
• Dental Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2013; 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.