Mayani Dental Watertown LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MAYANI DENTAL WATERTOWN LLC

Practice address

6 Mount Auburn St
Watertown, MA 02472-3928

Phone

(617) 755-1377

NPI assigned

Dec 10, 2020

Organization subpart

No

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

Authorized official

Name

Eyad Mayani, DMD

Title

Owner

Phone

(617) 784-7884

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1607558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607558400000",
    "number": "1720684079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 MOUNT AUBURN ST",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024723928",
            "telephone_number": "617-755-1377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 MOUNT AUBURN ST",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024723928",
            "telephone_number": "617-755-1377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYANI DENTAL WATERTOWN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-10",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A",
        "authorized_official_last_name": "MAYANI",
        "authorized_official_first_name": "EYAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-784-7884",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaime Francisco Matorras
• Karekine Matossian, D.M.D.,M.S.
• Jeffrey S Matrician, LIC. AC.
• Jason Holt Mavor, D.C.
• Kristin Mawhinney, MS OTRL
• Erin Christine Mayberry
• Glenn Mitchell Mazzone II, PHD
• Casey Mazzotti
• Kayla Mary McAlister
• Catherine McAuliffe, BA

• General Practice Dentistry in Watertown, MA
• Providers in Watertown, 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 Dec 10, 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.