Organization Active NPI

Easton Dental Speccialists

  • Prosthodontics
  • South Easton, MA
National Provider Identifier
1760720890
Registry record updated Jan 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
19979 Issued in MA
Legal business name
EASTON DENTAL SPECCIALISTS
Practice address
67 Belmont St
South Easton, MA 02375-1103
Phone
(508) 203-3737
Fax
(508) 230-3733
NPI assigned
Jan 24, 2013
Last updated
Jan 24, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2013

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

Authorized official

Name
Dr. Moftah Elghadi, DMD, FACP
Title
Dentist
Phone
(508) 230-3737

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 19979 MA Primary

Addresses

Primary practice location

67 Belmont St
South Easton, MA 02375-1103

Mailing address

67 Belmont St
South Easton, MA 02375-1103
Phone (508) 203-3737

National Provider Directory

National Provider Directory
Tax ID family
Easton Dental PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1358985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358985600000",
    "number": "1760720890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 BELMONT ST",
            "city": "SOUTH EASTON",
            "state": "MA",
            "postal_code": "023751103",
            "telephone_number": "508-203-3737",
            "fax_number": "508-230-3733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 BELMONT ST",
            "city": "SOUTH EASTON",
            "state": "MA",
            "postal_code": "023751103",
            "telephone_number": "508-203-3737",
            "fax_number": "508-230-3733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTON DENTAL SPECCIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-24",
        "last_updated": "2013-01-24",
        "status": "A",
        "authorized_official_last_name": "ELGHADI",
        "authorized_official_first_name": "MOFTAH",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "508-230-3737",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, FACP"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "MA",
            "license": "19979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Easton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2013; 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.