Fitchburg Dental PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

20432 Issued in MA

Legal business name

FITCHBURG DENTAL PC

Practice address

134 Summer St
Fitchburg, MA 01420-5869

Phone

(978) 241-8063

NPI assigned

Jun 1, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Paul Kang, DMD

Title

Dentist

Phone

(781) 608-4422

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1306886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306886400000",
    "number": "1699069153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 SUMMER ST",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014205869",
            "telephone_number": "978-241-8063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 SUMMER ST",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014205869",
            "telephone_number": "978-241-8063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FITCHBURG DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-01",
        "last_updated": "2011-06-01",
        "status": "A",
        "authorized_official_last_name": "KANG",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "781-608-4422",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "20432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Fitchburg Chiropractic Health Clinic (New England Chiropractic: Fitchburg)
• Fitchburg Comprehensive Treatment Center
• Fitchburg Comprehensive Treatment Center Opioid Use Disorder Program
• Fitchburg Family Pharmacy, Inc
• Fitchburg Gardens for Nursing and Rehabilitation LLC
• Fitchburg Pediatrics, P.C. (Fitchburg Pediatrics)
• Fitchburg Rehabilitation and Nursing Center LLC
• Fitchburg Smiles

• General Practice Dentistry in Fitchburg, MA
• Providers in Fitchburg, 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 Jun 1, 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.