Castellucci, Wysocki and Osorio Dental Group, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CASTELLUCCI, WYSOCKI AND OSORIO DENTAL GROUP, LLC

Practice address

311 Boston Post Rd Unit 1
Wayland, MA 01778-1802

Phone

(508) 358-7100

NPI assigned

Jun 8, 2017

Organization subpart

No

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

Authorized official

Name

Edward Wysocki, DMD

Title

Partner/Dentist

Phone

(508) 358-7100

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496880000000",
    "number": "1780113266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 BOSTON POST RD UNIT 1",
            "city": "WAYLAND",
            "state": "MA",
            "postal_code": "017781802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 BOSTON POST RD UNIT 1",
            "city": "WAYLAND",
            "state": "MA",
            "postal_code": "017781802",
            "telephone_number": "508-358-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASTELLUCCI, WYSOCKI AND OSORIO DENTAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-08",
        "last_updated": "2017-06-08",
        "status": "A",
        "authorized_official_last_name": "WYSOCKI",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "PARTNER/DENTIST",
        "authorized_official_telephone_number": "508-358-7100",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherilyn Powell Burnett, MA
• Lourdes M Cantos, LMT
• Leonard John Carapezza, DMD
• Charles Wingard Carl Jr., MD
• Oliver Klinger Carvalho, DMD
• Catherine Cavallo
• Pamela Cerne, LICSW
• Joan Patricia Cho-Sik, MSW LICENSED INEP CL
• Ruth Choi
• Jennifer Harting Christian, M.D., M.P.H.

• General Practice Dentistry in Wayland, MA
• Providers in Wayland, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.