Dental Aid 1

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DN 1856680 Issued in MA

Legal business name

DENTAL AID 1

Practice address

884 Washington St
130
Weymouth, MA 02189-1530

Phone

(781) 340-5361

NPI assigned

Feb 20, 2017

Last updated

Feb 20, 2017By 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

Olga Krasnoslobodtseva, DMD

Title

General Dentist

Phone

(781) 340-5361

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1487548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1770022055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "884 WASHINGTON ST",
            "address_2": "130",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021891530",
            "telephone_number": "781-340-5361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "884 WASHINGTON ST",
            "address_2": "130",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021891530",
            "telephone_number": "781-340-5361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL AID 1",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-20",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "KRASNOSLOBODTSEVA",
        "authorized_official_first_name": "OLGA",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "781-340-5361",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MA",
            "license": "DN 1856680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Demartini
• Sara Demato, MS CCC-SLP
• Alece Georgean Demetriades
• David F Demick, M.D.
• Jaclyn Carol Dennison, RN
• Dental Wellness Group PC
• Melissa Ann Depasquale, M.ED
• Stephany Depina, COTA/L
• John F Desmond, MS, CCC-SLP
• Antoinette Deuca, RN

• Dental Clinic/Center in Weymouth, MA
• Providers in Weymouth, MA by specialty
• Dental Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; 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.