Deanna P. Groen, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN21254 Issued in MA

Practice address

154 Harding St
Medfield, MA 02052-1012

Phone

(617) 959-6577

NPI assigned

May 22, 2007

Last updated

Sep 3, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283472000000",
    "number": "1700095254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 HARDING ST",
            "city": "MEDFIELD",
            "state": "MA",
            "postal_code": "020521012",
            "telephone_number": "617-959-6577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 HARDING ST",
            "city": "MEDFIELD",
            "state": "MA",
            "postal_code": "020521012",
            "telephone_number": "617-959-6577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROEN",
        "first_name": "DEANNA",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2010-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN21254",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.026954",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellen C. Gleason, M.S., CCC-SLP
• Glick Orthodontics, P.C. (Dr. Starr and Dr. Glick)
• Geoffrey Michael Glick, D.M.D.
• Pamela S Godsoe, CCC-SLP
• Stanley Joel Goodman, CNP
• Hannah Hakim
• Justin Halton, LABA
• Cathleen L Haney, PT
• Brittney Hardro, M.S.
• Susan M Harlow, LICSW

• General Practice Dentistry in Medfield, MA
• Providers in Medfield, 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 Sep 3, 2010; 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.