Bay State Endodontics LLC

Primary specialty

EndodonticsTaxonomy code 1223E0200X

Legal business name

BAY STATE ENDODONTICS LLC

Practice address

555 Providence Hwy
Unit 1a
Walpole, MA 02081-4230

Phone

(508) 850-7311

Fax

(508) 850-7988

NPI assigned

Jun 17, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Matthew Arthur Fisher, D.D.S. M.S.

Title

Owner

Phone

(508) 850-7311

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1402963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403568000000",
    "number": "1811301971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 ACORN RD",
            "city": "NORTH EASTON",
            "state": "MA",
            "postal_code": "023563624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 PROVIDENCE HWY",
            "address_2": "UNIT 1A",
            "city": "WALPOLE",
            "state": "MA",
            "postal_code": "020814230",
            "telephone_number": "508-850-7311",
            "fax_number": "508-850-7988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY STATE ENDODONTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-17",
        "last_updated": "2014-06-24",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-850-7311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S. M.S."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Endodontics in Walpole, MA
• Providers in Walpole, MA by specialty
• Endodontics in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2014; 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.