Dental Implant Specialists of Massachusetts, PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

DENTAL IMPLANT SPECIALISTS OF MASSACHUSETTS, PC

Practice address

244 Willow St
Yarmouth Port, MA 02675-1757

Phone

(508) 375-9090

NPI assigned

Apr 12, 2023

Organization subpart

No

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

Authorized official

Name

Joe Nguyen

Title

Owner Dentist

Phone

(858) 761-2404

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1681257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681257600000",
    "number": "1972299196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 MAPLE AVE STE 1600",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752193936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 WILLOW ST",
            "city": "YARMOUTH PORT",
            "state": "MA",
            "postal_code": "026751757",
            "telephone_number": "508-375-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL IMPLANT SPECIALISTS OF MASSACHUSETTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-12",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "858-761-2404"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elaine Ruth Conners, LICSW
• Barbara M Crellin, LMHC
• Samantha Cronin, LMHC
• Steven David, PH.D.
• Keveney Michelle Davis, LICSW
• Jaime Desmond
• Pamela Dipietro
• Dorothy Renea Donalson, LMT
• Susan Vecchione Duenas, MS FNP
• Mary Margaret Dumas

• Dentist in Yarmouth Port, MA
• Providers in Yarmouth Port, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; 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.