Dr Dental of Plymouth

Primary specialty

DentistTaxonomy code 122300000X

License

DN20485 Issued in MA

Legal business name

DR DENTAL OF PLYMOUTH

Practice address

125 Samoset St
Plymouth, MA 02360-4801

Phone

(617) 448-8371

NPI assigned

Jul 19, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Eric Pastan

Title

Manager

Phone

(617) 448-8371

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1311033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313366400000",
    "number": "1780972141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 SAMOSET ST",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023604801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 SAMOSET ST",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023604801",
            "telephone_number": "617-448-8371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR DENTAL OF PLYMOUTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-19",
        "last_updated": "2011-08-15",
        "status": "A",
        "authorized_official_last_name": "PASTAN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "617-448-8371",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN20485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anre Donnel Dowell
• Lauren R Downey, L.D.O
• Stephanie Downing, RN
• Rosiane Downs, CNA
• Maureen A Doyle, RNCS
• Dr Janis F Mertz PC
• Andrea Driscoll
• Elizabeth Driscoll, PHD
• Drive Physical Therapy, PLLC
• Stephen R Dube, M.D.

• Dentist in Plymouth, MA
• Providers in Plymouth, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2011; 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.