Pediatric Dental of Grafton

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

PEDIATRIC DENTAL OF GRAFTON

Doing business as

Pediatric dental of millis

Practice address

78 Worcester St
North Grafton, MA 01536-1045

Phone

(508) 827-8777

NPI assigned

Sep 13, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Nadia Diab, DMD

Title

Owner

Phone

(508) 244-1047

Specialties & licenses 1

Addresses

Other names 1

• Pediatric dental of millis Doing business as

Locations

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

{
    "created_epoch": "1631491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631491200000",
    "number": "1871262865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 WORCESTER ST",
            "city": "NORTH GRAFTON",
            "state": "MA",
            "postal_code": "015361045",
            "telephone_number": "508-827-8777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 WORCESTER ST",
            "city": "NORTH GRAFTON",
            "state": "MA",
            "postal_code": "015361045",
            "telephone_number": "508-827-8777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC DENTAL OF GRAFTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-13",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A",
        "authorized_official_last_name": "DIAB",
        "authorized_official_first_name": "NADIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-244-1047",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric dental of millis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kathleen J. O'Malley, D.C.
• Thomas P. O'Malley, D.C.
• Erin M O'Toole, PA-C
• John Paine
• Nancy Ellen Papp
• Gilda Pellegrino
• Nicole Phillips, LICSW
• Mary Philpot, FNP-BC
• Pic a Nit LLC
• Mark Scott Polasky, DDS

• Pediatric Dentistry in North Grafton, MA
• Providers in North Grafton, MA by specialty
• Pediatric Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; 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.