NPIMap

Organization Active NPI

Dental 1, P.C.

  • General Practice Dentistry
  • Milton, MA
National Provider Identifier
1801100136
Registry record updated Jul 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN21661 Issued in MA
Legal business name
DENTAL 1, P.C.
Practice address
480 Adams St
Suite 104
Milton, MA 02186-4914
Phone
(617) 698-0600
NPI assigned
Jul 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2010

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

Authorized official

Name
Dr. Ai-Phuong Pham, DMDNPI 1043233802
Title
President
Phone
(617) 698-0600

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DN21661 MA Primary

Addresses

Primary practice location

480 Adams St
Suite 104
Milton, MA 02186-4914

Mailing address

480 Adams St
Suite 104
Milton, MA 02186-4914
Phone (617) 698-0600

National Provider Directory

National Provider Directory

Locations

480 Adams St
Ste 104
Milton, MA 02186
Phone (617) 639-5450

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": "1280275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280275200000",
    "number": "1801100136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 ADAMS ST",
            "address_2": "SUITE 104",
            "city": "MILTON",
            "state": "MA",
            "postal_code": "021864914",
            "telephone_number": "617-698-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 ADAMS ST",
            "address_2": "SUITE 104",
            "city": "MILTON",
            "state": "MA",
            "postal_code": "021864914",
            "telephone_number": "617-698-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL 1, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-28",
        "last_updated": "2010-07-28",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "AI-PHUONG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-698-0600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN21661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2010; 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.