Stuart J. Macdonald, DMD, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

STUART J. MACDONALD, DMD, PC

Practice address

1259 Hyde Park Ave
Hyde Park, MA 02136-2817

Phone

(617) 364-5500

Fax

(617) 361-1351

NPI assigned

Dec 17, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Stuart J. Macdonald, DMD

Title

President

Phone

(617) 364-5500

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545004800000",
    "number": "1972074870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1259 HYDE PARK AVE",
            "city": "HYDE PARK",
            "state": "MA",
            "postal_code": "021362817",
            "telephone_number": "617-364-5500",
            "fax_number": "617-361-1351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1259 HYDE PARK AVE",
            "city": "HYDE PARK",
            "state": "MA",
            "postal_code": "021362817",
            "telephone_number": "617-364-5500",
            "fax_number": "617-361-1351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STUART J. MACDONALD, DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-17",
        "last_updated": "2018-12-17",
        "status": "A",
        "authorized_official_last_name": "MACDONALD",
        "authorized_official_first_name": "STUART",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-364-5500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Hyde Park, MA
• Providers in Hyde Park, 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 Dec 17, 2018; 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.