NPIMap

Organization Active NPI

Westborough Dental Partners, P.C.

Doing business as Commonwealth Dental Associates

  • Dentist
  • Westborough, MA
National Provider Identifier
1760997670
Registry record updated Apr 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
WESTBOROUGH DENTAL PARTNERS, P.C.
Doing business as
Commonwealth Dental Associates
Practice address
176 E Main St Ste 2
Westborough, MA 01581
Phone
(508) 366-8300
Fax
(508) 870-1848
NPI assigned
Dec 14, 2017
Last updated
Apr 23, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2020

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

Authorized official

Name
Ms. Joanne Tavano
Title
Chief Operating Officer
Phone
(978) 580-1524

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

176 E Main St Ste 2
Westborough, MA 01581

Mailing address

5 Mount Royal Ave Ste 300
Marlborough, MA 01752-1900
Phone (508) 460-0632

Other names 1

  • Commonwealth Dental Associates Doing business as

National Provider Directory

National Provider Directory

Locations

176 E Main St
Ste 2
Westborough, MA 01581
Phone (508) 366-8300

Practitioners & affiliated clinicians

Practitioners 3

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": "1513209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587600000000",
    "number": "1760997670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 MOUNT ROYAL AVE STE 300",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017521900",
            "telephone_number": "508-460-0632",
            "fax_number": "508-872-0781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 E MAIN ST STE 2",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "01581",
            "telephone_number": "508-366-8300",
            "fax_number": "508-870-1848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTBOROUGH DENTAL PARTNERS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-14",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A",
        "authorized_official_last_name": "TAVANO",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "978-580-1524",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Commonwealth Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westborough, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.