Apex Dental
Organization Active NPI Dental Clinic/Center · Northborough, MA
NPI 1669664645 · NPPES record last updated Aug 14, 2007
Key facts
- NPI
- 1669664645
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dental Clinic/Center 261QD0000X
- Legal business name
- APEX DENTAL
- Practice address
- 82 W Main St
Northborough, MA 01532-1879 - Phone
- (508) 393-8819
- NPI assigned
- Aug 14, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Robert J. Gauthier, D.M.D.
- Title
- President
- Phone
- (508) 393-8819
National Provider Directory
Locations
82 W Main St
Northborough, MA 01532
Phone (508) 393-8819
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Yes |
Addresses
Primary practice location
82 W Main St
Northborough, MA 01532-1879
Mailing address
82 W Main St
Northborough, MA 01532-1879
Phone (508) 393-8819
NPI Registry JSON
{
"created_epoch": "1187049600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1187049600000",
"number": "1669664645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "82 W MAIN ST",
"city": "NORTHBOROUGH",
"state": "MA",
"postal_code": "015321879",
"telephone_number": "508-393-8819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "82 W MAIN ST",
"city": "NORTHBOROUGH",
"state": "MA",
"postal_code": "015321879",
"telephone_number": "508-393-8819"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "APEX DENTAL",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-14",
"last_updated": "2007-08-14",
"status": "A",
"authorized_official_last_name": "GAUTHIER",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "508-393-8819",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.M.D."
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Northborough, MA
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All providers in Northborough, MA · Dental Clinic/Center in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.