NPIMap

Organization Active NPI

D. H. Dental PC

  • Dental Clinic/Center
  • Fitchburg, MA
National Provider Identifier
1780043745
Registry record updated Feb 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
1856553 Issued in MA
Legal business name
D. H. DENTAL PC
Practice address
881 South St
Fitchburg, MA 01420-6252
Phone
(978) 343-2630
NPI assigned
Feb 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2016

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

Authorized official

Name
Dr. Islam Mohammad Dehis, D.M.D.NPI 1942394911
Title
President
Phone
(631) 922-4444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 1856553 MA Primary

Addresses

Primary practice location

881 South St
Fitchburg, MA 01420-6252

Mailing address

205 Bay Dr
Northborough, MA 01532-3102
Phone (631) 922-4444

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1455753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455753600000",
    "number": "1780043745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 BAY DR",
            "city": "NORTHBOROUGH",
            "state": "MA",
            "postal_code": "015323102",
            "telephone_number": "631-922-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "881 SOUTH ST",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014206252",
            "telephone_number": "978-343-2630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D. H. DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-18",
        "last_updated": "2016-02-18",
        "status": "A",
        "authorized_official_last_name": "DEHIS",
        "authorized_official_first_name": "ISLAM",
        "authorized_official_middle_name": "MOHAMMAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-922-4444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MA",
            "license": "1856553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fitchburg, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.