Modern Dentistry LLC

Primary specialty

DentistTaxonomy code 122300000X

License

DN1856214 Issued in MA

Legal business name

MODERN DENTISTRY LLC

Doing business as

Modern Dentistry of Shrewsbury

Practice address

307 Grafton St
202-203
Shrewsbury, MA 01545-6236

Phone

(508) 842-8838

Fax

(508) 842-6356

NPI assigned

Jun 1, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Mehdi Karimipour, DMD

Title

President

Phone

(617) 935-7536

Specialties & licenses 1

Addresses

Other names 1

• Modern Dentistry of Shrewsbury Doing business as

Locations

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

{
    "created_epoch": "1464739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464739200000",
    "number": "1740638667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 GRAFTON ST",
            "address_2": "202-203",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015456236",
            "telephone_number": "508-842-8838",
            "fax_number": "508-842-6356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 GRAFTON ST",
            "address_2": "202-203",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015456236",
            "telephone_number": "508-842-8838",
            "fax_number": "508-842-6356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-01",
        "last_updated": "2016-06-01",
        "status": "A",
        "authorized_official_last_name": "KARIMIPOUR",
        "authorized_official_first_name": "MEHDI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-935-7536",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1856214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Modern Dentistry of Shrewsbury",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Erin Michaud, IBCLC
• Amy Millette, CCC-SLP
• Mary As Minalga, LICSW
• Jeanine Lea Mindrum, MA-CCC-SLP
• Mariah Mitchell
• Rayann Mohammad
• Jane A. Molinari, M.D.
• Ann Monahan
• Danielle N Moncrieffe, MD
• John Monroe

• Dentist in Shrewsbury, MA
• Providers in Shrewsbury, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.