Active NPI
Southern Massachusetts Dental, P.C.
Doing business as Lakeville Dental
- Dental Clinic/Center
- Lakeville, MA
National Provider Identifier
1871917997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- SOUTHERN MASSACHUSETTS DENTAL, P.C.
- Doing business as
- Lakeville Dental
- Practice address
- 54 Main St
Suite 6
Lakeville, MA 02347-3621 - Phone
- (508) 923-6900
- NPI assigned
- Feb 10, 2014
- Last updated
- Feb 10, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Minh Phuong Bui, DMD
- Title
- Owner
- Phone
- (774) 213-9178
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | NU | Primary |
Addresses
Primary practice location
54 Main St
Suite 6
Lakeville, MA 02347-3621
Mailing address
54 Main St
Suite 6
Lakeville, MA 02347-3621
Phone (508) 923-6900
Other names 1
- Lakeville Dental
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391990400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1391990400000",
"number": "1871917997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "54 MAIN ST",
"address_2": "SUITE 6",
"city": "LAKEVILLE",
"state": "MA",
"postal_code": "023473621",
"telephone_number": "508-923-6900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "54 MAIN ST",
"address_2": "SUITE 6",
"city": "LAKEVILLE",
"state": "MA",
"postal_code": "023473621",
"telephone_number": "508-923-6900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHERN MASSACHUSETTS DENTAL, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2014-02-10",
"last_updated": "2014-02-10",
"status": "A",
"authorized_official_last_name": "BUI",
"authorized_official_first_name": "MINH",
"authorized_official_middle_name": "PHUONG",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "774-213-9178",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Lakeville Dental",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lakeville, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.