Plymouth Dental Care, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

20542 Issued in MA

Legal business name

PLYMOUTH DENTAL CARE, LLC

Practice address

72 Summer St
Plymouth, MA 02360-3457

Phone

(508) 746-6686

Fax

(508) 746-3015

NPI assigned

Aug 21, 2008

Last updated

Aug 21, 2008By 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. Lisa Ann Cusson, DMDNPI 1720114911

Title

Dentist

Phone

(508) 746-6686

Specialties & licenses 1

Addresses

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.

• Lisa Ann Cusson, DMD

  • General Practice Dentistry
  • Plymouth, MA
  • NPI 1720114911
  NPD (past) Authorized official

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

{
    "created_epoch": "1219276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219276800000",
    "number": "1730336645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 SUMMER ST",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023603457",
            "telephone_number": "508-746-6686",
            "fax_number": "508-746-3015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 SUMMER ST",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023603457",
            "telephone_number": "508-746-6686",
            "fax_number": "508-746-3015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLYMOUTH DENTAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-21",
        "last_updated": "2008-08-21",
        "status": "A",
        "authorized_official_last_name": "CUSSON",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "508-746-6686",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "20542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Plymouth Carver Primary Care
• Plymouth Carver Primary Care, P.C.
• Plymouth County Behavioral Health LLC (the plymouth center for behavioral health)
• Plymouth County Behavioral Health LLC
• Plymouth County Sheriff's Department
• Plymouth Dermatology Associates, PC
• Plymouth Dermatology Specialists PLLC
• Plymouth Family Optometry LLC
• Plymouth Laser Center, LLC (Plymouth Laser & Surgical Center)
• Plymouth Ma SNF LLC (Plymouth Rehabilitation & Health Care Center)

• General Practice Dentistry in Plymouth, MA
• Providers in Plymouth, 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 Aug 21, 2008; 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.