NPIMap

Organization Active NPI

Healthy Smiles PC

  • Dentist
  • West Bridgewater, MA
National Provider Identifier
1659547198
Registry record updated Mar 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
20277 Issued in MA
Legal business name
HEALTHY SMILES PC
Doing business as
healthy smiles dental
Practice address
345 W Center St
Ste 1
West Bridgewater, MA 02379-1600
Phone
(508) 894-8100
Fax
(508) 894-8101
NPI assigned
May 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2022

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

Authorized official

Name
Michael Tabbah, DMDNPI 1043304272
Title
President
Phone
(508) 894-8100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 20277 MA Primary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X

Addresses

Primary practice location

345 W Center St
Ste 1
West Bridgewater, MA 02379-1600

Mailing address

345 W Center St
Ste 1
West Bridgewater, MA 02379
Phone (508) 894-8100

Other names 1

  • healthy smiles dental Doing business as

National Provider Directory

National Provider Directory

Locations

345 W Center St
Ste 1
West Bridgewater, MA 02379
Phone (508) 894-8100

120 W Center St
Ste 1
West Bridgewater, MA 02379

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": "1209945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647561600000",
    "number": "1659547198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 W CENTER ST",
            "address_2": "STE 1",
            "city": "WEST BRIDGEWATER",
            "state": "MA",
            "postal_code": "02379",
            "telephone_number": "508-894-8100",
            "fax_number": "508-894-8101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 W CENTER ST",
            "address_2": "STE 1",
            "city": "WEST BRIDGEWATER",
            "state": "MA",
            "postal_code": "023791600",
            "telephone_number": "508-894-8100",
            "fax_number": "508-894-8101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY SMILES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-05",
        "last_updated": "2022-03-18",
        "certification_date": "2022-03-08",
        "status": "A",
        "authorized_official_last_name": "TABBAH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-894-8100",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MA",
            "license": "20277",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "healthy smiles dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "healthy smiles dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Bridgewater, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2022; 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.