Organization Active NPI

Mazolender Partnership

  • Dentist
  • Westborough, MA
National Provider Identifier
1699892034
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
18643 Issued in MA
Legal business name
MAZOLENDER PARTNERSHIP
Practice address
76 Otis St
Westborough, MA 01581-3315
Phone
(508) 870-1911
Fax
(508) 870-0639
NPI assigned
Mar 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Andrey Mazo, DMD
Title
Parther
Phone
(508) 870-1911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 18643 MA Primary

Addresses

Primary practice location

76 Otis St
Westborough, MA 01581-3315

Mailing address

76 Otis St
Westborough, MA 01581-3315
Phone (508) 870-1911

Other names 1

  • All Dental Other name

National Provider Directory

National Provider Directory

Locations

76 Otis St
Westborough, MA 01581
Phone (508) 870-1911

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699892034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 OTIS ST",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015813315",
            "telephone_number": "508-870-1911",
            "fax_number": "508-870-0639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 OTIS ST",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015813315",
            "telephone_number": "508-870-1911",
            "fax_number": "508-870-0639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAZOLENDER PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAZO",
        "authorized_official_first_name": "ANDREY",
        "authorized_official_title_or_position": "PARTHER",
        "authorized_official_telephone_number": "508-870-1911",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MA",
            "license": "18643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "All Dental",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Westborough, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.