Organization Active NPI

SGZ Dental Group PLLC

  • Dental Clinic/Center
  • North Dartmouth, MA
National Provider Identifier
1740938554
Registry record updated Jun 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SGZ DENTAL GROUP PLLC
Practice address
92 Faunce Corner Rd Unit 150
North Dartmouth, MA 02747-1262
Phone
(203) 954-7543
NPI assigned
Mar 11, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2022

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

Authorized official

Name
Sean Amir Ghassem-Zadeh, DMDNPI 1619383247
Title
Owner
Phone
(203) 954-7543

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

92 Faunce Corner Rd Unit 150
North Dartmouth, MA 02747-1262

Mailing address

205 Richdale Ave Apt A11
Cambridge, MA 02140-3339
Phone (203) 954-7543

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1646956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654128000000",
    "number": "1740938554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 RICHDALE AVE APT A11",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021403339",
            "telephone_number": "203-954-7543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 FAUNCE CORNER RD UNIT 150",
            "city": "NORTH DARTMOUTH",
            "state": "MA",
            "postal_code": "027471262",
            "telephone_number": "203-954-7543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SGZ DENTAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-11",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A",
        "authorized_official_last_name": "GHASSEM-ZADEH",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "AMIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-954-7543",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Dartmouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2022; 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.