Somerville First Dental,LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DN21444 Issued in MA

Legal business name

SOMERVILLE FIRST DENTAL,LLC

Practice address

622 Somerville Ave
Somerville, MA 02143-3211

Phone

(617) 623-8489

NPI assigned

Apr 2, 2012

Organization subpart

No

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

Authorized official

Name

Farshad Ghobbeh, D.M.D

Title

President

Phone

(617) 388-7727

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1333324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333324800000",
    "number": "1891051066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 SOMERVILLE AVE",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021433211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 SOMERVILLE AVE",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021433211",
            "telephone_number": "617-623-8489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMERVILLE FIRST DENTAL,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-02",
        "last_updated": "2012-04-02",
        "status": "A",
        "authorized_official_last_name": "GHOBBEH",
        "authorized_official_first_name": "FARSHAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-388-7727",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MA",
            "license": "DN21444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Somerville Dentistry and Braces, P.C.
• Somerville Family Dental, PC
• Somerville Home, Inc.
• Somerville Homeless Coalition
• Somerville Homeless Coalition
• Somerville Mental Health
• Somerville Mental Health Association, Inc.

• Dental Clinic/Center in Somerville, MA
• Providers in Somerville, MA by specialty
• Dental Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.