South Shore Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

16257 Issued in MA

Legal business name

SOUTH SHORE DENTISTRY

Doing business as

Larry D. Burt DMD PC

Practice address

696 Main Street
South Weymouth, MA 02190

Phone

(781) 331-3030

Fax

(781) 335-5878

NPI assigned

Sep 22, 2006

Last updated

Feb 28, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Larry David Burt, DMDNPI 1801996749

Title

Owner-Dentist

Phone

(781) 331-3030

Specialties & licenses 1

Addresses

Other names 1

• Larry D. Burt DMD PC Doing business as

Locations

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.

• Larry David Burt, DMD

  • General Practice Dentistry
  • South Weymouth, MA
  • NPI 1801996749
  NPD (past) Authorized official

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582848000000",
    "number": "1720188675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "696 MAIN STREET",
            "city": "SOUTH WEYMOUTH",
            "state": "MA",
            "postal_code": "02190",
            "telephone_number": "781-331-3030",
            "fax_number": "781-335-5878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "696 MAIN STREET",
            "city": "SOUTH WEYMOUTH",
            "state": "MA",
            "postal_code": "02190",
            "telephone_number": "781-331-3030",
            "fax_number": "781-335-5878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SHORE DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2020-02-28",
        "certification_date": "2020-02-28",
        "status": "A",
        "authorized_official_last_name": "BURT",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER-DENTIST",
        "authorized_official_telephone_number": "781-331-3030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "16257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Larry D. Burt DMD PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nancy F. Smock, CCC/SLP
• Alexis Soto
• South Shore Allergy & Asthma Specialists P.C.
• South Shore Arc, Inc
• South Shore Cardiology PC
• South Shore Ear Nose and Throat P.C.
• South Shore Hospital
• South Shore Hospital Inc.
• South Shore Hospital, Inc (The Boutique)
• South Shore Medical Center (South Shore Cardiology, Part of South Shore Health)

• General Practice Dentistry in South Weymouth, MA
• Providers in South Weymouth, 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 Feb 28, 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.