Dedham Dental Associates, LLC

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

DN17296 Issued in MA

Legal business name

DEDHAM DENTAL ASSOCIATES, LLC

Practice address

888 Washington St
Suite 306
Dedham, MA 02026-6017

Phone

(781) 329-1234

NPI assigned

May 1, 2012

Last updated

May 22, 2012By 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

Louis J. Sawan, DMD

Title

Senior Partner

Phone

(781) 329-1234

Specialties & licenses 3

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Neil Patel, D.M.D

  • General Practice Dentistry
  • Dedham, MA
  • NPI 1770935421
  NPD (past)

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

{
    "created_epoch": "1335830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337644800000",
    "number": "1629336383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "888 WASHINGTON ST",
            "address_2": "SUITE 306",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020266017",
            "telephone_number": "781-329-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 WASHINGTON ST",
            "address_2": "SUITE 306",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020266017",
            "telephone_number": "781-329-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEDHAM DENTAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-01",
        "last_updated": "2012-05-22",
        "status": "A",
        "authorized_official_last_name": "SAWAN",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "SENIOR PARTNER",
        "authorized_official_telephone_number": "781-329-1234",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "12569",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "19132",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "MA",
            "license": "DN17296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Ann Dazet, LAC
• Jennifer De la Cruz
• Caroline Decoste
• Dedham Acupuncture, LLC
• Dedham Consultation Center LLC
• Dedham Dentist, P.C.
• Dedham Family Dental Care PC
• Dedham Family Dental, P.C.
• Dedham Medical Assoc
• Dedham Medical Assoc Inc

• Prosthodontics in Dedham, MA
• Providers in Dedham, MA by specialty
• Prosthodontics in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2012; 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.