Chestnut Dental Associates, P.C.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

10350 Issued in MA

Legal business name

CHESTNUT DENTAL ASSOCIATES, P.C.

Practice address

87 Chestnut St
Needham, MA 02492-2578

Phone

(781) 444-6650

Fax

(781) 444-3607

NPI assigned

Dec 7, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Stephen Shusterman, DMD

Title

President

Phone

(781) 444-6650

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1133913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720063274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 CHESTNUT ST",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024922578",
            "telephone_number": "781-444-6650",
            "fax_number": "781-444-3607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 CHESTNUT ST",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024922578",
            "telephone_number": "781-444-6650",
            "fax_number": "781-444-3607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESTNUT DENTAL ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHUSTERMAN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-444-6650",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MA",
            "license": "10350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Renee Charney, M.S.W, LICSW
• Rhea Marisa Chase, PH.D.
• Jonathan Chason, DMD
• Edward Lee Chen, M.D.
• Weiju Chen, ED.M.
• Chestnut Urology PC
• Erika Chevannes, LCSW
• Chia Tai CHI
• Child and Adolescent Psychological Services, PLLC
• Children'S Speech & Feeding Therapy, Inc.

• Pediatric Dentistry in Needham, MA
• Providers in Needham, MA by specialty
• Pediatric 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.