Dental Specialties Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10377 Issued in MA

Legal business name

DENTAL SPECIALTIES INC

Practice address

950 N Main St
Randolph, MA 02368-3064

Phone

(781) 963-2222

Fax

(781) 963-1282

NPI assigned

Aug 24, 2006

Last updated

Jul 28, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Elaine Marie Fairfield, CDA

Title

Office Manager

Phone

(781) 963-2222

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217203200000",
    "number": "1760599781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 N MAIN ST",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023683064",
            "telephone_number": "781-963-2222",
            "fax_number": "781-963-1282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 N MAIN ST",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023683064",
            "telephone_number": "781-963-2222",
            "fax_number": "781-963-1282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL SPECIALTIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2008-07-28",
        "status": "A",
        "authorized_official_last_name": "FAIRFIELD",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "781-963-2222",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CDA"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "15488",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "10377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlin Demedeiros
• Peter Ioannis Demestihas, RPH
• Denise K Snow Williams OD PC
• Dental Associates Randolph
• Dental Dynamics PC
• Ann-Marie Denton, LMHC
• Nadine Vieira Depina
• Nancy Depina
• Edwige F Derival
• Beatrice Desir, PMHNP-BC

• General Practice Dentistry in Randolph, MA
• Providers in Randolph, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2008; 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.