NPIMap

Organization Active NPI

Nova Dental, LLC

  • Prosthodontics
  • Woburn, MA
National Provider Identifier
1760951073
Registry record updated Nov 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
Legal business name
NOVA DENTAL, LLC
Practice address
304 Cambridge Rd Ste 340
Woburn, MA 01801-6033
Phone
(781) 369-5722
NPI assigned
Nov 15, 2018
Last updated
Nov 15, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2018

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

Authorized official

Name
Talar Guldalian, DMDNPI 1043462658
Title
Owner
Phone
(781) 369-5722

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
ProsthodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0700X Primary

Addresses

Primary practice location

304 Cambridge Rd Ste 340
Woburn, MA 01801-6033

Mailing address

304 Cambridge Rd Ste 340
Woburn, MA 01801-6033

National Provider Directory

National Provider Directory

Locations

304 Cambridge Rd
Ste 340
Woburn, MA 01801
Phone (781) 369-5722

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1542240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542240000000",
    "number": "1760951073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 CAMBRIDGE RD STE 340",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018016033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 CAMBRIDGE RD STE 340",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018016033",
            "telephone_number": "781-369-5722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-15",
        "last_updated": "2018-11-15",
        "status": "A",
        "authorized_official_last_name": "GULDALIAN",
        "authorized_official_first_name": "TALAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-369-5722",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woburn, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2018; 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.