Braintree Pediatric Dental Associates, LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

18843 Issued in MA

Legal business name

BRAINTREE PEDIATRIC DENTAL ASSOCIATES, LLC

Practice address

400 Washington St
#301
Braintree, MA 02184-4729

Phone

(781) 356-4544

Fax

(781) 356-5375

NPI assigned

Jan 5, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Charlene Pirner, DMD

Title

Co-Owner

Phone

(781) 356-4544

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801943394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 WASHINGTON ST",
            "address_2": "#301",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021844729",
            "telephone_number": "781-356-4544",
            "fax_number": "781-356-5375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 WASHINGTON ST",
            "address_2": "#301",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021844729",
            "telephone_number": "781-356-4544",
            "fax_number": "781-356-5375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAINTREE PEDIATRIC DENTAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PIRNER",
        "authorized_official_first_name": "CHARLENE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "781-356-4544",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MA",
            "license": "18843",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MA",
            "license": "18729",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• 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.