Anthony N Giamberardino DMD PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

16121 Issued in MA

Legal business name

ANTHONY N GIAMBERARDINO DMD PC

Practice address

84 High St
#304
Medford, MA 02155

Phone

(781) 396-3800

Fax

(781) 396-2337

NPI assigned

Jul 16, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Anthony N Giamberardino, DMD

Title

President Ceo

Phone

(781) 396-3800

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710904545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 HIGH ST",
            "address_2": "#304",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "02155",
            "telephone_number": "781-396-3800",
            "fax_number": "781-396-2337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 HIGH ST",
            "address_2": "#304",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "02155",
            "telephone_number": "781-396-3800",
            "fax_number": "781-396-2337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHONY N GIAMBERARDINO DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GIAMBERARDINO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "781-396-3800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "16121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Medford, MA
• Providers in Medford, 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 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.