Organization Active NPI

Tucker Road Dental Associates PC

  • General Practice Dentistry
  • Dartmouth, MA
National Provider Identifier
1710180559
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
21775 Issued in MA
Legal business name
TUCKER ROAD DENTAL ASSOCIATES PC
Practice address
1379 Tucker Rd
Dartmouth, MA 02747-3152
Phone
(508) 996-3133
Fax
(508) 996-3134
NPI assigned
Jun 8, 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
Mr. Paul P Ponte, DMDNPI 1447315973
Title
Dentist
Phone
(508) 996-3133

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 21775 MA Primary

Addresses

Primary practice location

1379 Tucker Rd
Dartmouth, MA 02747-3152

Mailing address

143 Rockland Ave.
So. Dartmouth, MA 02748
Phone (508) 996-3133

National Provider Directory

National Provider Directory

Locations

1379 Tucker Rd
North Dartmouth, MA 02747
Phone (508) 993-9105

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710180559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 ROCKLAND AVE.",
            "city": "SO. DARTMOUTH",
            "state": "MA",
            "postal_code": "02748",
            "telephone_number": "508-996-3133",
            "fax_number": "508-996-3134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1379 TUCKER RD",
            "city": "DARTMOUTH",
            "state": "MA",
            "postal_code": "027473152",
            "telephone_number": "508-996-3133",
            "fax_number": "508-996-3134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUCKER ROAD DENTAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PONTE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "508-996-3133",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "21775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dartmouth, 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.