Organization Active NPI

Greater Essex Dental PLLC

  • Dental Clinic/Center
  • Merrimac, MA
National Provider Identifier
1780313916
Registry record updated Jul 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
GREATER ESSEX DENTAL PLLC
Practice address
26 School St
Merrimac, MA 01860-1947
Phone
(978) 346-4610
NPI assigned
Jun 5, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2022

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

Authorized official

Name
Dr. Amer Avdagic, DMDNPI 1285290643
Title
Managing Member
Phone
(978) 346-4610

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 Primary

Addresses

Primary practice location

26 School St
Merrimac, MA 01860-1947

Mailing address

26 School St
Merrimac, MA 01860-1947
Phone (978) 346-4610

National Provider Directory

National Provider Directory

Locations

26 School St
Merrimac, MA 01860
Phone (978) 346-4610

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": "1654387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657065600000",
    "number": "1780313916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 SCHOOL ST",
            "city": "MERRIMAC",
            "state": "MA",
            "postal_code": "018601947",
            "telephone_number": "978-346-4610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 SCHOOL ST",
            "city": "MERRIMAC",
            "state": "MA",
            "postal_code": "018601947",
            "telephone_number": "978-346-4610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER ESSEX DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-05",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A",
        "authorized_official_last_name": "AVDAGIC",
        "authorized_official_first_name": "AMER",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "978-346-4610",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrimac, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2022; 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.