A Dental Group

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

Legal business name

A DENTAL GROUP

Practice address

1 S End Bridge Cir
Agawam, MA 01001-2020

Phone

(413) 363-1242

NPI assigned

Feb 4, 2013

Last updated

Feb 4, 2013By 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

Yuri Murzin

Title

Owner

Phone

(413) 374-1262

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1359936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359936000000",
    "number": "1770822371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 S END BRIDGE CIR",
            "city": "AGAWAM",
            "state": "MA",
            "postal_code": "010012020",
            "telephone_number": "413-363-1242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 S END BRIDGE CIR",
            "city": "AGAWAM",
            "state": "MA",
            "postal_code": "010012020",
            "telephone_number": "413-363-1242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-04",
        "last_updated": "2013-02-04",
        "status": "A",
        "authorized_official_last_name": "MURZIN",
        "authorized_official_first_name": "YURI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "413-374-1262"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 462 Main Street Opco, LLC
• 464 Main Street Operations LLC (Memory Support of Heritage Hall)
• 55 Cooper Street Operations LLC (Heritage Hall North)
• 61 Cooper Street Operations LLC (Heritage Hall West)
• 65 Cooper Street Operations LLC (Heritage Hall South)
• Michael Scott Abrams, M.D.
• Renato Opura Acuna, PT
• Adaptive Prosthetics & Orthotics LLC
• Paulo Afonso, PT
• Agawam East Operating LLC (Agawam East Rehab and Nursing)

• Public Health Dentistry in Agawam, MA
• Providers in Agawam, MA by specialty
• Public Health Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.