NPIMap

Organization Active NPI

Magnuson Dental Group, PC

  • General Practice Dentistry
  • South Hamilton, MA
National Provider Identifier
1871839464
Registry record updated Dec 31, 2012
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Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
20942 Issued in MA
Legal business name
MAGNUSON DENTAL GROUP, PC
Practice address
205 Willow St
Building B
South Hamilton, MA 01982-2255
Phone
(978) 468-7746
NPI assigned
Dec 31, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2012

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

Authorized official

Name
Dr. Priscilla Magnuson, DMD
Title
Dentist
Phone
(978) 468-7746

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 20942 MA Primary

Addresses

Primary practice location

205 Willow St
Building B
South Hamilton, MA 01982-2255

Mailing address

205 Willow St
Building B
South Hamilton, MA 01982-2255
Phone (978) 468-7746

National Provider Directory

National Provider Directory

Locations

205 Willow St
Bldg B
South Hamilton, MA 01982
Phone (978) 468-7746

NPI Registry JSON

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

{
    "created_epoch": "1356912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356912000000",
    "number": "1871839464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 WILLOW ST",
            "address_2": "BUILDING B",
            "city": "SOUTH HAMILTON",
            "state": "MA",
            "postal_code": "019822255",
            "telephone_number": "978-468-7746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 WILLOW ST",
            "address_2": "BUILDING B",
            "city": "SOUTH HAMILTON",
            "state": "MA",
            "postal_code": "019822255",
            "telephone_number": "978-468-7746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNUSON DENTAL GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-31",
        "last_updated": "2012-12-31",
        "status": "A",
        "authorized_official_last_name": "MAGNUSON",
        "authorized_official_first_name": "PRISCILLA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "978-468-7746",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "20942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Hamilton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2012; 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.