Ultimate Dental Care of Randolph , PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ULTIMATE DENTAL CARE OF RANDOLPH , PC

Practice address

1110 N Main St
Randolph, MA 02368-2132

Phone

(617) 462-8728

NPI assigned

Aug 28, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Eyad Salloum, DMD

Title

President

Phone

(781) 963-9200

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1535414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560556800000",
    "number": "1831670678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 LT ANDERSON DR",
            "city": "FOXBORO",
            "state": "MA",
            "postal_code": "020351372",
            "telephone_number": "781-963-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 N MAIN ST",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023682132",
            "telephone_number": "617-462-8728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTIMATE DENTAL CARE OF RANDOLPH , PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-28",
        "last_updated": "2019-06-15",
        "status": "A",
        "authorized_official_last_name": "SALLOUM",
        "authorized_official_first_name": "EYAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-963-9200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Turner
• Zaymaha T Tyler
• Sukrana Uddin, OD
• Stanley Udor
• Chika Ugwumba
• Boniface I Umeh, LMHC
• Felicia Umeh, R.N.
• Theophilus Azubuike Unaegbu, RN
• Union Dental Randolph LLC
• Unique Psych Services LLC

• General Practice Dentistry in Randolph, MA
• Providers in Randolph, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2019; 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.