NPIMap

Organization Active NPI

Wellness Dental, L.L.C.

  • General Practice Dentistry
  • Webster, MA
National Provider Identifier
1669809646
Registry record updated Oct 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11988 Issued in MA
Legal business name
WELLNESS DENTAL, L.L.C.
Practice address
96 Worcester Rd.
Webster, MA 01570
Phone
(508) 943-2300
Fax
(508) 949-3981
NPI assigned
Oct 4, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2013

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

Authorized official

Name
Mr. Paul Ross Virgadamo Sr., DMDNPI 1568476653
Title
Dentist
Phone
(508) 943-2300

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 11988 MA Primary

Addresses

Primary practice location

96 Worcester Rd.
Webster, MA 01570

Mailing address

PO Box 868
96 Worcester Rd.
Webster, MA 01570
Phone (508) 943-2300

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1380844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380844800000",
    "number": "1669809646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 868",
            "address_2": "96 WORCESTER RD.",
            "city": "WEBSTER",
            "state": "MA",
            "postal_code": "01570",
            "telephone_number": "508-943-2300",
            "fax_number": "508-949-3981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 WORCESTER RD.",
            "city": "WEBSTER",
            "state": "MA",
            "postal_code": "01570",
            "telephone_number": "508-943-2300",
            "fax_number": "508-949-3981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS DENTAL, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-04",
        "last_updated": "2013-10-04",
        "status": "A",
        "authorized_official_last_name": "VIRGADAMO",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "ROSS",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "15089432300",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "11988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2013; 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.