Organization Active NPI

Gloucester Dental Health Center

  • General Practice Dentistry
  • Gloucester, MA
National Provider Identifier
1679745988
Registry record updated Aug 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
20746 Issued in MA
Legal business name
GLOUCESTER DENTAL HEALTH CENTER
Practice address
99 Prospect St
Gloucester, MA 01930-3742
Phone
(978) 281-0914
NPI assigned
Mar 26, 2008
Organization subpart
Yes
Parent organization
CITY OF GLOUCESTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 7, 2008

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

Authorized official

Name
Dr. Yvonne Richardson Marsh, DDS
Title
Dentist / Owner
Phone
(978) 774-2279

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 20746 MA Primary

Addresses

Primary practice location

99 Prospect St
Gloucester, MA 01930-3742

Mailing address

99 Prospect St
Gloucester, MA 01930-3742
Phone (978) 281-0914

National Provider Directory

National Provider Directory
Tax ID family
Town of Gloucester4 organizations share this tax ID, including this one
Part of
Town of Gloucester

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1206489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218067200000",
    "number": "1679745988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 PROSPECT ST",
            "city": "GLOUCESTER",
            "state": "MA",
            "postal_code": "019303742",
            "telephone_number": "978-281-0914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 PROSPECT ST",
            "city": "GLOUCESTER",
            "state": "MA",
            "postal_code": "019303742",
            "telephone_number": "978-281-0914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLOUCESTER DENTAL HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CITY OF GLOUCESTER",
        "enumeration_date": "2008-03-26",
        "last_updated": "2008-08-07",
        "status": "A",
        "authorized_official_last_name": "MARSH",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_middle_name": "RICHARDSON",
        "authorized_official_title_or_position": "DENTIST / OWNER",
        "authorized_official_telephone_number": "978-774-2279",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "20746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gloucester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2008; 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.