Mendon Family Dentistry, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MENDON FAMILY DENTISTRY, PC

Practice address

14 Hastings Street
Mendon, MA 01756

Phone

(508) 478-8683

NPI assigned

Sep 2, 2016

Last updated

Sep 2, 2016By 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

Ms. Joanne Tavano

Title

Chief Operating Officer

Phone

(978) 580-1524

Specialties & licenses 1

Addresses

Tax ID family

Mendon Family Dentistry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mendon Family Dentistry

  • Dentist
  • Mendon, MA
  • NPI 1083168132
  NPD tax ID

Locations

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

{
    "created_epoch": "1472774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472774400000",
    "number": "1851848212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 MOUNT ROYAL AVE",
            "address_2": "SUITE 300",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "01752",
            "telephone_number": "508-460-0632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 HASTINGS STREET",
            "city": "MENDON",
            "state": "MA",
            "postal_code": "01756",
            "telephone_number": "508-478-8683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENDON FAMILY DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-02",
        "last_updated": "2016-09-02",
        "status": "A",
        "authorized_official_last_name": "TAVANO",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "978-580-1524",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valbona Lataille
• Little Circles LLC (Synergy HomeCare of Mendon)
• M&M Medical Supply Inc.
• Sandra M McSweeney, LIC. AC.
• Mendon Family Dentistry
• Mendon Upton School District
• Brian M Minsk, M.D.
• Mitali Mohanan, MPT
• Christina Lyn Morrison, RD
• Margaret Kimberly Noyes, MSW

• General Practice Dentistry in Mendon, MA
• Providers in Mendon, 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 Sep 2, 2016; 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.