Concord Woods Dental Group LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

CONCORD WOODS DENTAL GROUP LLC

Practice address

418 Massachusetts Ave Lowr Level
Acton, MA 01720-3723

Phone

(978) 263-6444

NPI assigned

Jan 7, 2013

Organization subpart

No

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

Authorized official

Name

Richard T Miller, DMD

Title

Owner

Phone

(617) 921-6292

Specialties & licenses 1

Addresses

Tax ID family

Concord Woods Dental Group LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Concord Woods Dental Group LLC

  • Dentist
  • Concord, MA
  • NPI 1437392024
  NPD tax ID

Locations

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

{
    "created_epoch": "1357516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357603200000",
    "number": "1932446275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 MASSACHUSETTS AVE LOWR LEVEL",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017203723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 MASSACHUSETTS AVE LOWR LEVEL",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017203723",
            "telephone_number": "978-263-6444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCORD WOODS DENTAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-07",
        "last_updated": "2013-01-08",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-921-6292",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremy Benton Cohen, PMHNP-BC
• Mark William Cohen, M.D.
• Natalie L. Cohen, MD
• Linda M Collins, LMHC
• Commonwealth of Massachusetts
• Concord-Acton Dental
• Jordyn Condon
• Megan Conley
• Continuum Counseling LLC
• Jillian Cooley

• Dentist in Acton, MA
• Providers in Acton, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2013; 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.