NPIMap

Organization Active NPI

3-D Dental, PC

  • Dentist
  • Acton, MA
National Provider Identifier
1699824433
Registry record updated May 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
19996 Issued in MA
Legal business name
3-D DENTAL, PC
Practice address
411 Massachusetts Ave
Suite 204
Acton, MA 01720-3739
Phone
(978) 266-1288
Fax
(978) 266-1230
NPI assigned
Jan 10, 2007
Last updated
May 16, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2012

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

Authorized official

Name
Dr. David Wei Wang, DMD
Title
President
Phone
(978) 266-1288

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 20540 MA
Dentist 122300000X 19996 MA Primary

Addresses

Primary practice location

411 Massachusetts Ave
Suite 204
Acton, MA 01720-3739

Mailing address

411 Massachusetts Ave
Suite 204
Acton, MA 01720-3739
Phone (978) 266-1288

Other identifiers 2

IdentifierTypeStateIssuer
1306874292OtherMADENTIST
1578591475OtherMADENTIST

National Provider Directory

National Provider Directory
Tax ID family
3-D Dental PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

411 Massachusetts Ave
Ste 204
Acton, MA 01720
Phone (978) 266-1288

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337126400000",
    "number": "1699824433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 MASSACHUSETTS AVE",
            "address_2": "SUITE 204",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017203739",
            "telephone_number": "978-266-1288",
            "fax_number": "978-266-1230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 MASSACHUSETTS AVE",
            "address_2": "SUITE 204",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017203739",
            "telephone_number": "978-266-1288",
            "fax_number": "978-266-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "3-D DENTAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2012-05-16",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "WEI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-266-1288",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "20540",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "19996",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST",
            "identifier": "1306874292",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST",
            "identifier": "1578591475",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Acton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2012; 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.