Cornerstone Dental Care, Inc.

Primary specialty

DentistTaxonomy code 122300000X

License

19517 Issued in MA

Legal business name

CORNERSTONE DENTAL CARE, INC.

Practice address

1300 Union St
#G-101
Westborough, MA 01581-5416

Phone

(508) 366-3623

Fax

(508) 616-0206

NPI assigned

Apr 10, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Traci Allison Portnoff, DMD

Title

President

Phone

(508) 366-3623

Specialties & licenses 1

Addresses

Other names 1

• Traci A Portnoff, DMD, PC Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Colleen A Lynch, DDS

  • General Practice Dentistry
  • Westborough, MA
  • NPI 1679688733
  NPD (past)

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

{
    "created_epoch": "1460246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460246400000",
    "number": "1770947301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 UNION ST",
            "address_2": "#G-101",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015815416",
            "telephone_number": "508-366-3623",
            "fax_number": "508-616-0206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 UNION ST",
            "address_2": "#G-101",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015815416",
            "telephone_number": "508-366-3623",
            "fax_number": "508-616-0206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE DENTAL CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-10",
        "last_updated": "2016-04-10",
        "status": "A",
        "authorized_official_last_name": "PORTNOFF",
        "authorized_official_first_name": "TRACI",
        "authorized_official_middle_name": "ALLISON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-366-3623",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MA",
            "license": "19517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Traci A Portnoff, DMD, PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Sarah Lynn Cosgrove, APRN
• Amanda Michelle Cote, PT,DPT,NCS,CI
• Sharon Levesque Courville, LICSW
• William Dale Cox, ED.D.

• Dentist in Westborough, MA
• Providers in Westborough, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2016; 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.