NPIMap

Organization Active NPI

Mill Pond Dental Associates LLC

  • General Practice Dentistry
  • East Falmouth, MA
National Provider Identifier
1639455454
Registry record updated Oct 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
20133 Issued in MA
Legal business name
MILL POND DENTAL ASSOCIATES LLC
Practice address
170 E Falmouth Hwy
East Falmouth, MA 02536-6037
Phone
(508) 540-2303
NPI assigned
Oct 25, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2011

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

Authorized official

Name
Dr. Suraiya M Shaikh, DMD
Title
Owner
Phone
(508) 481-5010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 20133 MA Primary

Addresses

Primary practice location

170 E Falmouth Hwy
East Falmouth, MA 02536-6037

Mailing address

170 E Falmouth Hwy
East Falmouth, MA 02536-6037
Phone (508) 540-2303

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1319500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319500800000",
    "number": "1639455454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 E FALMOUTH HWY",
            "city": "EAST FALMOUTH",
            "state": "MA",
            "postal_code": "025366037",
            "telephone_number": "508-540-2303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 E FALMOUTH HWY",
            "city": "EAST FALMOUTH",
            "state": "MA",
            "postal_code": "025366037",
            "telephone_number": "508-540-2303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILL POND DENTAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-25",
        "last_updated": "2011-10-25",
        "status": "A",
        "authorized_official_last_name": "SHAIKH",
        "authorized_official_first_name": "SURAIYA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-481-5010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "20133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Falmouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2011; 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.