Alliance Dental Center, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ALLIANCE DENTAL CENTER, LLC

Practice address

111 Washington St Ste 301
Quincy, MA 02169-5354

Phone

(617) 984-5300

Fax

(617) 481-0905

NPI assigned

Mar 7, 2019

Last updated

Jan 5, 2021By 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

Susan Fournier

Title

Ceo

Phone

(617) 426-5878

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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.

• Erinne Nicole Kennedy, DMD

  • Public Health Dentistry
  • Joplin, MO
  • NPI 1255710034
  NPD (past)

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

{
    "created_epoch": "1551916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609804800000",
    "number": "1922566041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4114",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019614114",
            "telephone_number": "617-426-5878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 WASHINGTON ST STE 301",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021695354",
            "telephone_number": "617-984-5300",
            "fax_number": "617-481-0905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE DENTAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-07",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A",
        "authorized_official_last_name": "FOURNIER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "617-426-5878"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allen Lapey MD Proprietorship
• Brandy A. Allen, M.,ED.
• Jessica Allen, M.A.
• Vicki Kathryn Allen
• Gracie Vanessa Alleyne-Popo
• Alliance Health of Quincy, Inc. (Alliance Health at Marina Bay)
• Alliance Health of Quincy, Inc. (Marina Bay)
• Allied Health Clinic LLC
• Allied Health Inc
• Allied Healthcare

• General Practice Dentistry in Quincy, MA
• Providers in Quincy, 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 Jan 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.