Nedg-Necc LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

NEDG-NECC LLC

Practice address

33 Turnpike Rd
Southborough, MA 01772-2108

Phone

(508) 281-6464

NPI assigned

May 10, 2023

Last updated

May 10, 2023By 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

Alicia Laclair

Title

Director of Operations

Phone

(508) 281-6464

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1683676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683676800000",
    "number": "1770273146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "257 TURNPIKE RD STE 110",
            "city": "SOUTHBOROUGH",
            "state": "MA",
            "postal_code": "017721791",
            "telephone_number": "508-281-6464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 TURNPIKE RD",
            "city": "SOUTHBOROUGH",
            "state": "MA",
            "postal_code": "017722108",
            "telephone_number": "508-281-6464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEDG-NECC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-10",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A",
        "authorized_official_last_name": "LACLAIR",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "508-281-6464"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Southborough, MA
• Providers in Southborough, 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 May 10, 2023; 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.