Organization Active NPI

Wilmington Family Dental PC

  • General Practice Dentistry
  • Wilmington, MA
National Provider Identifier
1679957823
Registry record updated Jul 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN21851 Issued in MA
Legal business name
WILMINGTON FAMILY DENTAL PC
Practice address
306 Main St
Wilmington, MA 01887-2725
Phone
(978) 315-3509
Fax
(978) 658-5355
NPI assigned
Jul 17, 2015
Last updated
Jul 17, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2015

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

Authorized official

Name
Dr. Kevin A Guze, DMDNPI 1659539336
Title
Owner
Phone
(617) 721-0707

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN21851 MA Primary

Addresses

Primary practice location

306 Main St
Wilmington, MA 01887-2725

Mailing address

306 Main St
Wilmington, MA 01887-2725
Phone (978) 315-3509

National Provider Directory

National Provider Directory

Locations

306 Main St
Wilmington, MA 01887
Phone (978) 491-8847

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1437091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437091200000",
    "number": "1679957823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 MAIN ST",
            "city": "WILMINGTON",
            "state": "MA",
            "postal_code": "018872725",
            "telephone_number": "978-315-3509",
            "fax_number": "978-658-5355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 MAIN ST",
            "city": "WILMINGTON",
            "state": "MA",
            "postal_code": "018872725",
            "telephone_number": "978-315-3509",
            "fax_number": "978-658-5355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILMINGTON FAMILY DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-17",
        "last_updated": "2015-07-17",
        "status": "A",
        "authorized_official_last_name": "GUZE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-721-0707",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN21851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2015; 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.