Medford Family Dental Care

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MEDFORD FAMILY DENTAL CARE

Practice address

101 Main St Ste 220
Medford, MA 02155-4530

Phone

(617) 913-0519

NPI assigned

Feb 25, 2020

Organization subpart

No

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

Authorized official

Name

Nabil Suhil Zahka

Title

Owner

Phone

(617) 913-0519

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1582588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582588800000",
    "number": "1609400035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MAIN ST STE 220",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021554530",
            "telephone_number": "617-913-0519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MAIN ST STE 220",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021554530",
            "telephone_number": "617-913-0519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDFORD FAMILY DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-25",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A",
        "authorized_official_last_name": "ZAHKA",
        "authorized_official_first_name": "NABIL",
        "authorized_official_middle_name": "SUHIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-913-0519"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medford Dental Wellness Center, PC
• Medford Endodontics, LLC
• Medford Eyecare LLC
• Medford Eyeglass Shop Inc.
• Medford Family & Cosmetic Dentistry PLLC
• Medford Healthcare Group, LLC
• Medford Main Street Dental P.C.
• Medford Medical Laboratory Inc.
• Medford Optical Shop, Inc.
• Medford Square Dentistry and Implants LLC

• Dental Clinic/Center in Medford, MA
• Providers in Medford, 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 Feb 25, 2020; 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.