Stephen Waxman DMD, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11549 Issued in MA

Legal business name

STEPHEN WAXMAN DMD, LLC

Practice address

255 Park Ave
Suite 904
Worcester, MA 01609-1953

Phone

(508) 755-1980

NPI assigned

Nov 22, 2011

Organization subpart

No

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

Authorized official

Name

Stephen Waxman

Title

DMD

Phone

(508) 755-1980

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1321920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321920000000",
    "number": "1699042432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 PARK AVE",
            "address_2": "SUITE 904",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016091953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 PARK AVE",
            "address_2": "SUITE 904",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016091953",
            "telephone_number": "508-755-1980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN WAXMAN DMD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-22",
        "last_updated": "2011-11-22",
        "status": "A",
        "authorized_official_last_name": "WAXMAN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "DMD",
        "authorized_official_telephone_number": "508-755-1980"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "11549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Beth Steinmann, PA-C
• Laura Grace Steinmetz, OTR/L
• Hannah Marie Steir, M.S., BCBA, LABA
• Stephen M. Desio, M.D., P.C.
• Stephen Nault
• Hope Stephens-Rust, MHC
• Kaila Stephens
• Nicole Stephens
• Lindsay Jeanne Ster, M.ED
• Jordan Sterenberg, OT, OTD, OTR

• General Practice Dentistry in Worcester, MA
• Providers in Worcester, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2011; 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.