Organization Active NPI

Russell Hill Dental Associates PLLC

Doing business as Russell Hill Dental

  • Dental Clinic/Center
  • Winchester, MA
National Provider Identifier
1740045699
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
RUSSELL HILL DENTAL ASSOCIATES PLLC
Doing business as
Russell Hill Dental
Practice address
955 Main St Ste 201
Winchester, MA 01890-4302
Phone
(781) 729-5041
NPI assigned
Feb 20, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Authorized official

Name
Dr. Miguel Vidal, DMDNPI 1487613980
Title
Owner
Phone
(781) 729-5041

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

955 Main St Ste 201
Winchester, MA 01890-4302

Mailing address

955 Main St Ste 201
Winchester, MA 01890-4302
Phone (781) 729-5041

Other names 1

  • Russell Hill Dental Doing business as

National Provider Directory

National Provider Directory

Locations

955 Main St
Ste 201
Winchester, MA 01890
Phone (781) 729-5041

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1708387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708387200000",
    "number": "1740045699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 MAIN ST STE 201",
            "city": "WINCHESTER",
            "state": "MA",
            "postal_code": "018904302",
            "telephone_number": "781-729-5041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 MAIN ST STE 201",
            "city": "WINCHESTER",
            "state": "MA",
            "postal_code": "018904302",
            "telephone_number": "781-729-5041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL HILL DENTAL ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-20",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A",
        "authorized_official_last_name": "VIDAL",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-729-5041",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Russell Hill Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winchester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; 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.