Organization Active NPI

Southern Massachusetts Dental, P.C.

Doing business as Lakeville Dental

  • Dental Clinic/Center
  • Lakeville, MA
National Provider Identifier
1871917997
Registry record updated Feb 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
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, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2014

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.