Waltham Dental Group

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

WALTHAM DENTAL GROUP

Practice address

32 South St Ste 202
Waltham, MA 02453-3555

Phone

(781) 894-2122

NPI assigned

Dec 8, 2023

Last updated

Dec 8, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ahmed Mihyawi

Title

Dentist Owner

Phone

(617) 780-8299

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Robert James Lindberg

  • Dentist
  • Waltham, MA
  • NPI 1992975106
  NPD (past)

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

{
    "created_epoch": "1701993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701993600000",
    "number": "1689441792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 SOUTH ST STE 202",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024533555",
            "telephone_number": "781-894-2122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 SOUTH ST STE 202",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024533555",
            "telephone_number": "781-894-2122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTHAM DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-08",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A",
        "authorized_official_last_name": "MIHYAWI",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "617-780-8299"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Wallace
• Samuel Joseph Walsh, MA
• Waltham Behavioral Health LLC
• Waltham Chiropractic PC
• Waltham Committee, Inc (WCI-Work Community Independence)
• Waltham Diabetes Center, LLC
• Waltham Dialysis LLC (The Dialysis Center at Waltham)
• Waltham Drug LLC (Watch City Pharmacy)
• Waltham Drug LLC (Watch City Pharmacy)
• Waltham Family Dental

• Dental Clinic/Center in Waltham, MA
• Providers in Waltham, MA by specialty
• Dental Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2023; 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.