NPIMap

Organization Active NPI

Jefferson S Dexter DMD PC

  • General Practice Dentistry
  • South Yarmouth, MA
National Provider Identifier
1720100456
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
20908 Issued in MA
Legal business name
JEFFERSON S DEXTER DMD PC
Practice address
99 Old Main St
South Yarmouth, MA 02664
Phone
(508) 398-3322
Fax
(508) 398-1679
NPI assigned
Apr 4, 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
Jefferson Sodren Dexter, DMDNPI 1669551156
Title
President
Phone
(508) 398-3322

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: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 20908 MA Primary

Addresses

Primary practice location

99 Old Main St
South Yarmouth, MA 02664

Mailing address

99 Old Main St
South Yarmouth, MA 02664
Phone (508) 394-7107

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720100456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 OLD MAIN ST",
            "city": "SOUTH YARMOUTH",
            "state": "MA",
            "postal_code": "02664",
            "telephone_number": "508-394-7107",
            "fax_number": "508-398-1679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 OLD MAIN ST",
            "city": "SOUTH YARMOUTH",
            "state": "MA",
            "postal_code": "02664",
            "telephone_number": "508-398-3322",
            "fax_number": "508-398-1679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON S DEXTER DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEXTER",
        "authorized_official_first_name": "JEFFERSON",
        "authorized_official_middle_name": "SODREN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-398-3322",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "20908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Yarmouth, 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.