Active NPI
Watertown Dental Center
- General Practice Dentistry
- Watertown, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 14591
- Legal business name
- WATERTOWN DENTAL CENTER
- Practice address
- 6 Mount Auburn St
Watertown, MA 02472-3928 - Phone
- (617) 926-0100
- Fax
- (617) 924-2836
- NPI assigned
- Oct 15, 2006
- Last updated
- Aug 9, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Peter Dana, D.M.D.
- Title
- Owner
- Phone
- (617) 926-0100
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 14591 | MA | Primary |
| General Practice Dentistry | 1223G0001X | 16058 | MA | |
| Periodontics | 1223P0300X | 20673 | MA |
Addresses
Primary practice location
6 Mount Auburn St
Watertown, MA 02472-3928
Mailing address
6 Mount Auburn St
Watertown, MA 02472-3928
Phone (617) 926-0100
National Provider Directory
National Provider DirectoryLocations
6 Mount Auburn St
Watertown, MA 02472
Phone (617) 755-1377
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- Watertown, MA
- NPI 1003948936
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160870400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1470700800000",
"number": "1710077029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 MOUNT AUBURN ST",
"city": "WATERTOWN",
"state": "MA",
"postal_code": "024723928",
"telephone_number": "617-926-0100",
"fax_number": "617-924-2836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 MOUNT AUBURN ST",
"city": "WATERTOWN",
"state": "MA",
"postal_code": "024723928",
"telephone_number": "617-926-0100",
"fax_number": "617-924-2836"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WATERTOWN DENTAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-15",
"last_updated": "2016-08-09",
"status": "A",
"authorized_official_last_name": "DANA",
"authorized_official_first_name": "PETER",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "617-926-0100",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.M.D."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "MA",
"license": "14591",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "MA",
"license": "16058",
"primary": false
},
{
"code": "1223P0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Periodontics",
"state": "MA",
"license": "20673",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Watertown, MA
- Warby Parker Inc.
- Sue B Warner, NP
- Rachel Frances Wasley, FNP
- Watertown Cosmetic and Pediatric Dentistry, P.C.
- Watertown Dental Associates PLLC
- Watertown Dentistry
- Watertown Dermatology Associates, LLC
- Watertown Eye Group, Inc.
- Watertown Family Dental PC
- Watertown Health Center, LLC (Watertown Health Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.