Suffolk Dental, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SUFFOLK DENTAL, PC

Practice address

550 Alta Mere Dr
Fort Worth, TX 76114-4053

Phone

(781) 400-5920

NPI assigned

Apr 28, 2016

Organization subpart

No

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

Authorized official

Name

Rushabh J Doshi, DMD

Title

President

Phone

(781) 400-5920

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1461801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461801600000",
    "number": "1730534603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 FRANKLIN ST",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024942939",
            "telephone_number": "781-400-5920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 ALTA MERE DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761144053",
            "telephone_number": "781-400-5920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUFFOLK DENTAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-28",
        "last_updated": "2016-04-28",
        "status": "A",
        "authorized_official_last_name": "DOSHI",
        "authorized_official_first_name": "RUSHABH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-400-5920",
        "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": []
}

• Barsha Subedi, FNP BC
• Ramesh Subedi, MD
• Isadora Galindo Subia, ANP
• Tracy Bernard Sublet
• Nadia Suckarieh, M.A., B.C.B.A.
• Michelle Lee Suggs, MACCCSLP
• Penny Suggs, MA LPC
• Eunjin M Suh, DDS
• Sukhoon Yoon, MD, PA
• Sukrita Bedi Matta DDS, PLLC

• General Practice Dentistry in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2016; 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.