John Francis Scanlon, D.M.D.
Individual provider Active NPI General Practice Dentistry · Boylston, MA
NPI 1922097674 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1922097674
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 14415 (MA)
- Practice address
- 17 Main St
Boylston, MA 01505-1948 - Phone
- (508) 869-6388
- Fax
- (508) 869-2910
- NPI assigned
- Oct 17, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14415 | MA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boylston Dental Associates | General Practice | Past | Accepting new patients |
| Professional Dental Allaince of Massachusetts PLLC | General Practice | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 14415 | MA | Yes |
Addresses
Primary practice location
17 Main St
Boylston, MA 01505-1948
Mailing address
13 Job Cushing Rd
Shrewsbury, MA 01545-2332
Phone (508) 842-3636
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14415 | Other | MA | STATE LICENSE |
Other providers in Boylston, MA
- Karen Kiver Patalano
- Wayne M Pineau
- Professional Dental Allaince of Massachusetts PLLC
- Michaela Rapoza
- Richer Soil Counseling LLC
- Richard Scott Shanks Jr.
- Rachel A Siegel
- Carol Linda Ahlstrand Smith
- Kreszentia M Strobel
- Patricia Symmes
All providers in Boylston, MA · General Practice Dentistry in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.