Organization Active NPI

Sudbury Dental Associates

  • Dental Clinic/Center
  • Sudbury, MA
National Provider Identifier
1831877851
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SUDBURY DENTAL ASSOCIATES
Practice address
410 Boston Post Rd
Sudbury, MA 01776-3058
Phone
(617) 686-8254
NPI assigned
Jul 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Authorized official

Name
Dr. Yali LouNPI 1780281774
Title
Owner
Phone
(617) 686-8254

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

410 Boston Post Rd
Sudbury, MA 01776-3058

Mailing address

25 Truman Rd
Newton Center, MA 02459-2638

National Provider Directory

National Provider Directory

Locations

410 Boston Post Rd
Sudbury, MA 01776
Phone (617) 686-8254

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1688947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688947200000",
    "number": "1831877851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 TRUMAN RD",
            "city": "NEWTON CENTER",
            "state": "MA",
            "postal_code": "024592638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 BOSTON POST RD",
            "city": "SUDBURY",
            "state": "MA",
            "postal_code": "017763058",
            "telephone_number": "617-686-8254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUDBURY DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-10",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A",
        "authorized_official_last_name": "LOU",
        "authorized_official_first_name": "YALI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-686-8254",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sudbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.