Active NPI
Excellence Dental of Marblehead PLLC
- Dental Clinic/Center
- Marblehead, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- EXCELLENCE DENTAL OF MARBLEHEAD PLLC
- Practice address
- 11 Atlantic Ave FL 2
Marblehead, MA 01945-5613 - Phone
- (857) 540-8367
- NPI assigned
- Jul 3, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Evis Myftiu, DMD
- Title
- Provider DMD
- Phone
- (857) 559-3507
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
11 Atlantic Ave FL 2
Marblehead, MA 01945-5613
Mailing address
11 Atlantic Ave FL 2
Marblehead, MA 01945-5613
Phone (857) 540-8367
National Provider Directory
National Provider DirectoryLocations
11 Atlantic Ave
Fl 2
Marblehead, MA 01945
Phone (781) 631-2207
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Dentist
- Watertown, MA
- NPI 1952918187
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751500800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1751500800000",
"number": "1780574624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 ATLANTIC AVE FL 2",
"city": "MARBLEHEAD",
"state": "MA",
"postal_code": "019455613",
"telephone_number": "857-540-8367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 ATLANTIC AVE FL 2",
"city": "MARBLEHEAD",
"state": "MA",
"postal_code": "019455613",
"telephone_number": "857-540-8367"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EXCELLENCE DENTAL OF MARBLEHEAD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-07-03",
"last_updated": "2025-07-03",
"certification_date": "2025-07-03",
"status": "A",
"authorized_official_last_name": "MYFTIU",
"authorized_official_first_name": "EVIS",
"authorized_official_title_or_position": "PROVIDER DMD",
"authorized_official_telephone_number": "857-559-3507",
"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 Marblehead, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.