Organization Active NPI

Ambiance Dental, LLC.

  • Dentist
  • Tyngsboro, MA
National Provider Identifier
1689888232
Registry record updated Jul 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
AMBIANCE DENTAL, LLC.
Practice address
440 Middlesex Rd
Unit D-3B
Tyngsboro, MA 01879-1070
Phone
(978) 649-8526
Fax
(978) 649-8528
NPI assigned
May 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2007

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

Authorized official

Name
Dr. Harry T. Ku, DMD
Title
President
Phone
(978) 649-8526

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

440 Middlesex Rd
Unit D-3B
Tyngsboro, MA 01879-1070

Mailing address

440 Middlesex Rd
Unit D-3B
Tyngsboro, MA 01879-1070
Phone (978) 649-8526

National Provider Directory

National Provider Directory

Locations

440 Middlesex Rd
Unit D3B
Tyngsboro, MA 01879
Phone (978) 649-8526

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": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184371200000",
    "number": "1689888232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 MIDDLESEX RD",
            "address_2": "UNIT D-3B",
            "city": "TYNGSBORO",
            "state": "MA",
            "postal_code": "018791070",
            "telephone_number": "978-649-8526",
            "fax_number": "978-649-8528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 MIDDLESEX RD",
            "address_2": "UNIT D-3B",
            "city": "TYNGSBORO",
            "state": "MA",
            "postal_code": "018791070",
            "telephone_number": "978-649-8526",
            "fax_number": "978-649-8528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBIANCE DENTAL, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2007-07-14",
        "status": "A",
        "authorized_official_last_name": "KU",
        "authorized_official_first_name": "HARRY",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-649-8526",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyngsboro, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2007; 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.