Organization Active NPI

Chelmsford Dental Specialists Group PC

  • Prosthodontics
  • Chelmsford, MA
National Provider Identifier
1720670284
Registry record updated Feb 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
Legal business name
CHELMSFORD DENTAL SPECIALISTS GROUP PC
Practice address
21 Chelmsford St
Chelmsford, MA 01824-3016
Phone
(978) 248-7484
NPI assigned
Feb 6, 2021
Last updated
Feb 6, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2021

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

Authorized official

Name
Dr. Alaaeddin Alwazzan, DMDNPI 1871705913
Title
Dentist
Phone
(978) 248-7484

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
Prosthodontics 1223P0700X NU Primary

Addresses

Primary practice location

21 Chelmsford St
Chelmsford, MA 01824-3016

Mailing address

500 Atlantic Ave Unit 14K
Boston, MA 02210-2245
Phone (617) 669-9839

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1612569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612569600000",
    "number": "1720670284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 ATLANTIC AVE UNIT 14K",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022102245",
            "telephone_number": "617-669-9839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 CHELMSFORD ST",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018243016",
            "telephone_number": "978-248-7484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHELMSFORD DENTAL SPECIALISTS GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-06",
        "last_updated": "2021-02-06",
        "certification_date": "2021-02-06",
        "status": "A",
        "authorized_official_last_name": "ALWAZZAN",
        "authorized_official_first_name": "ALAAEDDIN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "978-248-7484",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chelmsford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2021; 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.