Newton Wellesley Dental Group LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

NEWTON WELLESLEY DENTAL GROUP LLC

Practice address

447 Centre Street
Same
Newton, MA 02458

Phone

(617) 244-4133

NPI assigned

Sep 21, 2020

Last updated

Sep 21, 2020By 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

Lorraine E Matheus

Title

Crediting Specialist

Phone

(781) 567-0457

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1600646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600646400000",
    "number": "1619583168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "447 CENTRE STREET",
            "address_2": "SAME",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "02458",
            "telephone_number": "617-244-4133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "447 CENTRE STREET",
            "address_2": "SAME",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "02458",
            "telephone_number": "617-244-4133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWTON WELLESLEY DENTAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-21",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-18",
        "status": "A",
        "authorized_official_last_name": "MATHEUS",
        "authorized_official_first_name": "LORRAINE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CREDITING SPECIALIST",
        "authorized_official_telephone_number": "781-567-0457"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Newton Prosthodontics
• Newton Psychotherapist
• Newton Surgery
• Newton Surgery
• Newton Wellesley Cardiologists, P.C.
• Newton Wellesley Emergency Medicine Specialist, P .C.
• Newton Wellesley Family Pediatrics
• Newton Wellesley Hospital
• Newton Wellesley MRI, L.P.
• Newton Wellesley Neurology Associates, P.C.

• Dental Clinic/Center in Newton, MA
• Providers in Newton, 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 Sep 21, 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.