NPIMap

Organization Active NPI

Marlboro Dental Care

  • General Practice Dentistry
  • Marlborough, MA
National Provider Identifier
1750401758
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
16525 Issued in MA
Legal business name
MARLBORO DENTAL CARE
Practice address
65 Fremont St
Suite 2a
Marlborough, MA 01752-1271
Phone
(508) 460-8426
Fax
(508) 460-8977
NPI assigned
Mar 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Domenic Albanese, DMDNPI 1578650420
Title
General Partner
Phone
(508) 460-8426

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 16525 MA Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 17151 MA

Addresses

Primary practice location

65 Fremont St
Suite 2a
Marlborough, MA 01752-1271

Mailing address

65 Fremont St
Suite 2a
Marlborough, MA 01752-1271
Phone (508) 460-8426

National Provider Directory

National Provider Directory

Locations

65 Fremont St
Ste 2A
Marlborough, MA 01752
Phone (508) 460-8426

Practitioners & affiliated clinicians

Practitioners 2

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": "1175299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750401758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 FREMONT ST",
            "address_2": "SUITE 2A",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017521271",
            "telephone_number": "508-460-8426",
            "fax_number": "508-460-8977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 FREMONT ST",
            "address_2": "SUITE 2A",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017521271",
            "telephone_number": "508-460-8426",
            "fax_number": "508-460-8977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARLBORO DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALBANESE",
        "authorized_official_first_name": "DOMENIC",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "508-460-8426",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "16525",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "17151",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlborough, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.