Organization Active NPI

Jet Dental of Massachusetts

  • General Practice Dentistry
  • Sturbridge, MA
National Provider Identifier
1740058254
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
JET DENTAL OF MASSACHUSETTS
Practice address
110 Charlton Rd Ste 25a
Sturbridge, MA 01566-1538
Phone
(801) 430-9262
NPI assigned
Dec 13, 2023
Last updated
Dec 13, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2023

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

Authorized official

Name
Dr. Stephanie K Harding, DDSNPI 1497911770
Title
Owner
Phone
(615) 851-7102

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

110 Charlton Rd Ste 25a
Sturbridge, MA 01566-1538

Mailing address

1881 W Traverse Pkwy Ste E
Lehi, UT 84043-6029
Phone (801) 430-9262

National Provider Directory

National Provider Directory

Locations

110 Charlton Rd
Ste 25A
Sturbridge, MA 01566

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": "1702425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702425600000",
    "number": "1740058254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1881 W TRAVERSE PKWY STE E",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840436029",
            "telephone_number": "801-430-9262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 CHARLTON RD STE 25A",
            "city": "STURBRIDGE",
            "state": "MA",
            "postal_code": "015661538",
            "telephone_number": "801-430-9262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JET DENTAL OF MASSACHUSETTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-13",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A",
        "authorized_official_last_name": "HARDING",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-851-7102",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sturbridge, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; 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.