Organization Active NPI

Mass One Dental LLC

Doing business as all pro dental

  • General Practice Dentistry
  • Revere, MA
National Provider Identifier
1720416050
Registry record updated Oct 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN1856210 Issued in MA
Legal business name
MASS ONE DENTAL LLC
Doing business as
all pro dental
Practice address
7 Everett St
#D-E
Revere, MA 02151-5934
Phone
(978) 664-9944
NPI assigned
Oct 23, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2013

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

Authorized official

Name
Dr. Li Ting Huang, DDS
Title
Co-Owner
Phone
(978) 664-9944

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DN1856210 MA Primary

Addresses

Primary practice location

7 Everett St
#D-E
Revere, MA 02151-5934

Mailing address

7 Everett St
#D-E
Revere, MA 02151-5934

Other names 1

  • all pro dental Doing business as

National Provider Directory

National Provider Directory

Locations

7 Everett St
Revere, MA 02151
Phone (781) 853-0111

NPI Registry JSON

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

{
    "created_epoch": "1382486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382486400000",
    "number": "1720416050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 EVERETT ST",
            "address_2": "#D-E",
            "city": "REVERE",
            "state": "MA",
            "postal_code": "021515934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 EVERETT ST",
            "address_2": "#D-E",
            "city": "REVERE",
            "state": "MA",
            "postal_code": "021515934",
            "telephone_number": "978-664-9944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASS ONE DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-23",
        "last_updated": "2013-10-23",
        "status": "A",
        "authorized_official_last_name": "HUANG",
        "authorized_official_first_name": "LI TING",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "978-664-9944",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1856210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "all pro dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Revere, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2013; 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.