Organization Active NPI

Lawrence J. Ross, DDS & Mark a. Pullano, DMD, PC

  • General Practice Dentistry
  • Williamstown, MA
National Provider Identifier
1790891190
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LAWRENCE J. ROSS, DDS & MARK A. PULLANO, DMD, PC
Practice address
190 Main St
Williamstown, MA 01267-2604
Phone
(413) 458-8368
Fax
(413) 458-0932
NPI assigned
Aug 21, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Patricia Vaughn Ross
Title
Business Manager
Phone
(413) 458-8368

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

190 Main St
Williamstown, MA 01267-2604

Mailing address

190 Main St
Williamstown, MA 01267-2604
Phone (413) 458-8368

Other identifiers 1

IdentifierTypeStateIssuer
X10842OtherMABC/BS ID #

National Provider Directory

National Provider Directory

Locations

190 Main St
Williamstown, MA 01267
Phone (413) 458-8368

Practitioners & affiliated clinicians

Practitioners 2

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": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790891190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 MAIN ST",
            "city": "WILLIAMSTOWN",
            "state": "MA",
            "postal_code": "012672604",
            "telephone_number": "413-458-8368",
            "fax_number": "413-458-0932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 MAIN ST",
            "city": "WILLIAMSTOWN",
            "state": "MA",
            "postal_code": "012672604",
            "telephone_number": "413-458-8368",
            "fax_number": "413-458-0932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE J. ROSS, DDS & MARK A. PULLANO, DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "VAUGHN",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "413-458-8368",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS ID #",
            "identifier": "X10842",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamstown, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.