NPIMap

Organization Active NPI

Promise Dental Group, PLLC

  • Dentist
  • Westford, MA
National Provider Identifier
1922861087
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
PROMISE DENTAL GROUP, PLLC
Practice address
506 Groton Rd Ste 4
Westford, MA 01886-6307
Phone
(404) 932-8875
NPI assigned
Feb 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Authorized official

Name
Dr. Jangwon Huh, DMDNPI 1780979989
Title
Owner
Phone
(404) 932-8875

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

506 Groton Rd Ste 4
Westford, MA 01886-6307

Mailing address

506 Groton Rd Ste 4
Westford, MA 01886-6307
Phone (404) 932-8875

National Provider Directory

National Provider Directory

Locations

506 Groton Rd
Ste 4
Westford, MA 01886
Phone (404) 932-8875

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1706745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706745600000",
    "number": "1922861087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 GROTON RD STE 4",
            "city": "WESTFORD",
            "state": "MA",
            "postal_code": "018866307",
            "telephone_number": "404-932-8875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 GROTON RD STE 4",
            "city": "WESTFORD",
            "state": "MA",
            "postal_code": "018866307",
            "telephone_number": "404-932-8875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMISE DENTAL GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-01",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A",
        "authorized_official_last_name": "HUH",
        "authorized_official_first_name": "JANGWON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-932-8875",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; 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.