Medford Armory Dental P.C.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MEDFORD ARMORY DENTAL P.C.

Practice address

92 High St Ste T21
Medford, MA 02155-3840

Phone

(917) 455-6237

NPI assigned

Jun 27, 2023

Last updated

Jun 27, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Tien DO, DMDNPI 1801389374

Title

Owner Dentist

Phone

(917) 455-6237

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, and the practitioner matching its NPPES authorized official.

• Tien DO, DMD

  • Dentist
  • Medford, MA
  • NPI 1801389374
  NPD (past) Authorized official

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

{
    "created_epoch": "1687824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687824000000",
    "number": "1811673361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 HARRISON AVE UNIT 410",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182740",
            "telephone_number": "917-455-6237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 HIGH ST STE T21",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021553840",
            "telephone_number": "917-455-6237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDFORD ARMORY DENTAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-27",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A",
        "authorized_official_last_name": "DO",
        "authorized_official_first_name": "TIEN",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "917-455-6237",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan McNamara, LICSW
• Richard Mason McNeer III, MD
• Eliza Schwartz Meade, MD
• Lauri Day Mederios
• Medford Adhc
• Medford Clinical Laboratories
• Medford Dental Associates, LLC
• Medford Dental Wellness Center, PC
• Medford Endodontics, LLC
• Medford Eyecare LLC

• Dental Clinic/Center in Medford, MA
• Providers in Medford, MA by specialty
• Dental Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.