Duck Duck Tooth Pediatric Dentistry LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

DUCK DUCK TOOTH PEDIATRIC DENTISTRY LLC

Practice address

1 Wallis CT Ste 1
Lexington, MA 02421-5416

Phone

(339) 970-2014

Fax

(781) 634-0464

NPI assigned

Nov 14, 2023

Organization subpart

No

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

Authorized official

Name

Michelle Vo, DMDNPI 1427486315

Title

Owner

Phone

(617) 306-4449

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michelle Vo, DMD

  • Pediatric Dentistry
  • Dorchester, MA
  • NPI 1427486315
  NPD Authorized official

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

{
    "created_epoch": "1699920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699920000000",
    "number": "1801660360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WALLIS CT STE 1",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024215416",
            "telephone_number": "339-970-2014",
            "fax_number": "781-634-0464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WALLIS CT STE 1",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024215416",
            "telephone_number": "339-970-2014",
            "fax_number": "781-634-0464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUCK DUCK TOOTH PEDIATRIC DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-14",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A",
        "authorized_official_last_name": "VO",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-306-4449",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary Downey
• Dr. Ann Marie Seidel, LLC
• Denise Mary Dracup, LICSW
• M. Carole Drago, LICSW
• Morris Dratch, M.D.
• Patricia Lorraine Duffy, PSY.D.
• Timothy Francis Dugan, MD
• Stephanie A. Dumas
• Jared E Duncan, M.D.
• Jonathan Duncklee

• Pediatric Dentistry in Lexington, MA
• Providers in Lexington, MA by specialty
• Pediatric Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; 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.