Creative Dental Group, PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

DN1856486 Issued in MA

Legal business name

CREATIVE DENTAL GROUP, PLLC

Practice address

160 Rodney French Blvd
New Bedford, MA 02744-1640

Phone

(630) 456-6334

NPI assigned

May 29, 2014

Organization subpart

No

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

Authorized official

Name

Mrugank M Sardhara, DDS

Title

Member

Phone

(630) 456-6334

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1401321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401321600000",
    "number": "1912319583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 PLEASANT ST",
            "address_2": "APT 809",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027406100",
            "telephone_number": "630-456-6334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 RODNEY FRENCH BLVD",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027441640",
            "telephone_number": "630-456-6334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE DENTAL GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-29",
        "last_updated": "2014-05-29",
        "status": "A",
        "authorized_official_last_name": "SARDHARA",
        "authorized_official_first_name": "MRUGANK",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "630-456-6334",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1856486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Paul Craford, M.D.
• Erin Cranstoun, D.C.
• Gail E Cranstoun
• Lisa A Crary, NP-C
• Creative Counseling Solutions, Inc
• Paula Whiting Creighton, MA
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• William NMN Cristo Jr., MD
• Brienne Cronin, NP
• Cheri Crossley

• Dentist in New Bedford, MA
• Providers in New Bedford, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.