Eugene J. Mariani, Jr., D.D.S.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

13361 Issued in MA

Legal business name

EUGENE J. MARIANI, JR., D.D.S.

Practice address

48 Elm St
Worcester, MA 01609-2541

Phone

(508) 754-1122

Fax

(508) 754-9378

NPI assigned

Dec 18, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Eugene J Mariani Jr., DDS

Title

Periodontist

Phone

(508) 754-1122

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1197936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197936000000",
    "number": "1881878403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 ELM ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016092541",
            "telephone_number": "508-754-1122",
            "fax_number": "508-754-9378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 ELM ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016092541",
            "telephone_number": "508-754-1122",
            "fax_number": "508-754-9378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUGENE J. MARIANI, JR., D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-18",
        "last_updated": "2007-12-18",
        "status": "A",
        "authorized_official_last_name": "MARIANI",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PERIODONTIST",
        "authorized_official_telephone_number": "508-754-1122",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "MA",
            "license": "13361",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1 NPI",
            "identifier": "1184649444",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Periodontics in Worcester, MA
• Providers in Worcester, MA by specialty
• Periodontics in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; 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.