Branca Oral Surgery & Dental Implant Center, P.C.

Key facts

NPI: 1831534841
Entity type: Organization (NPI type 2)
Primary specialty: Oral and Maxillofacial Surgery (Dentist) 1223S0112X
Legal business name: BRANCA ORAL SURGERY & DENTAL IMPLANT CENTER, P.C.
Practice address: 104 Tremont St
Suite 5
Duxbury, MA 02332-4750
Phone: (781) 934-8101
Fax: (781) 934-8187
NPI assigned: May 3, 2013
Organization subpart: No

Authorized official

Name: Dr. Glenn Andrew Branca, D.D.S.
Title: President
Phone: (781) 934-1801

National Provider Directory

Locations

104 Tremont St
Ste 5
Duxbury, MA 02332
Phone (781) 934-8101

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Oral and Maxillofacial Surgery (Dentist) Group: 193400000X SINGLE SPECIALTY GROUP	1223S0112X		MA	Yes

Addresses

Primary practice location

104 Tremont St
Suite 5
Duxbury, MA 02332-4750

Mailing address

104 Tremont St
Suite 5
Duxbury, MA 02332-4750
Phone (781) 934-8101

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 3, 2013.

{
    "created_epoch": "1367539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367539200000",
    "number": "1831534841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 TREMONT ST",
            "address_2": "SUITE 5",
            "city": "DUXBURY",
            "state": "MA",
            "postal_code": "023324750",
            "telephone_number": "781-934-8101",
            "fax_number": "781-934-8187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 TREMONT ST",
            "address_2": "SUITE 5",
            "city": "DUXBURY",
            "state": "MA",
            "postal_code": "023324750",
            "telephone_number": "781-934-8101",
            "fax_number": "781-934-8187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANCA ORAL SURGERY & DENTAL IMPLANT CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-03",
        "last_updated": "2013-05-03",
        "status": "A",
        "authorized_official_last_name": "BRANCA",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-934-1801",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duxbury, MA

All providers in Duxbury, MA · Oral and Maxillofacial Surgery (Dentist) in Massachusetts

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 3, 2013. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.