Organization Active NPI

Excellence Dental of Marblehead PLLC

  • Dental Clinic/Center
  • Marblehead, MA
National Provider Identifier
1780574624
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
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

Updated by the provider on Jul 3, 2025

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

Authorized official

Name
Evis Myftiu, DMDNPI 1952918187
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.