Organization Active NPI

Advanced Dentistry LLC

  • Dental Clinic/Center
  • Woburn, MA
National Provider Identifier
1851602445
Registry record updated Jun 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
19257 Issued in MA
Legal business name
ADVANCED DENTISTRY LLC
Practice address
65 Pleasant St
Woburn, MA 01801-6711
Phone
(781) 933-3448
Fax
(781) 933-3436
NPI assigned
Jun 29, 2010
Last updated
Jun 29, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2010

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

Authorized official

Name
Dr. Sandhya Goli, DMD
Title
DMD/Owner
Phone
(781) 933-3448

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 19257 MA Primary

Addresses

Primary practice location

65 Pleasant St
Woburn, MA 01801-6711

Mailing address

65 Pleasant St
Woburn, MA 01801-6711
Phone (781) 933-3448

Other names 1

  • n/a Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1277769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277769600000",
    "number": "1851602445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 PLEASANT ST",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018016711",
            "telephone_number": "781-933-3448",
            "fax_number": "781-933-3436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 PLEASANT ST",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018016711",
            "telephone_number": "781-933-3448",
            "fax_number": "781-933-3436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-29",
        "last_updated": "2010-06-29",
        "status": "A",
        "authorized_official_last_name": "GOLI",
        "authorized_official_first_name": "SANDHYA",
        "authorized_official_title_or_position": "DMD/OWNER",
        "authorized_official_telephone_number": "781-933-3448",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MA",
            "license": "19257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "n/a",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Woburn, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2010; 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.