Center for Advanced Dental Care PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CENTER FOR ADVANCED DENTAL CARE PLLC

Practice address

93 Union St
Newton Center, MA 02459-2244

Phone

(617) 964-3430

Fax

(617) 630-9129

NPI assigned

Jul 8, 2020

Last updated

Jul 8, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sheryl Berenson, BA

Title

Manager

Phone

(617) 964-3430

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nicole Margaret Ford, DMD

  • General Practice Dentistry
  • Newton, MA
  • NPI 1275062424
  NPD (past)
• Robert S Kaplan, DMD

  • Dentist
  • Newton Centre, MA
  • NPI 1740284637
  NPD (past)
• Paola Mariely Pabon, DMD

  • General Practice Dentistry
  • Newton Centre, MA
  • NPI 1487712014
  NPD (past)

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

{
    "created_epoch": "1594166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594166400000",
    "number": "1891313649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 UNION ST STE 308",
            "city": "NEWTON CENTER",
            "state": "MA",
            "postal_code": "024592241",
            "telephone_number": "617-964-3430",
            "fax_number": "617-630-9129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 UNION ST",
            "city": "NEWTON CENTER",
            "state": "MA",
            "postal_code": "024592244",
            "telephone_number": "617-964-3430",
            "fax_number": "617-630-9129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR ADVANCED DENTAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-08",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A",
        "authorized_official_last_name": "BERENSON",
        "authorized_official_first_name": "SHERYL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "617-964-3430",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elisabeth Boersma, PSY.D.
• Mikayla Bogart
• Brent L. Levinson, PH.D.
• Danielle F Buckman, EDD
• Stephanie Camiel
• Choice Health Management, Inc.
• Phuli Lewis Cohan, MD
• Robert I Cohen, M.D.
• David Alan Danforth, PH.D.
• Datta Consultants LLC

• General Practice Dentistry in Newton Center, MA
• Providers in Newton Center, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2020; 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.