Tewksbury Family Dental, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

TEWKSBURY FAMILY DENTAL, LLC

Practice address

1120 Main St
Tewksbury, MA 01876-4739

Phone

(978) 851-8888

NPI assigned

Oct 15, 2007

Organization subpart

No

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

Authorized official

Name

Arghavan Shahidi, DMD

Title

Owner

Phone

(978) 851-8888

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Meaghan Murray, DMD

  • Dentist
  • Tewksbury, MA
  • NPI 1891165957
  NPD (past)
• Joseph Robert Trodella, DMD

  • General Practice Dentistry
  • Boston, MA
  • NPI 1093494569
  NPD (past)

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192406400000",
    "number": "1972792083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 MAIN ST",
            "city": "TEWKSBURY",
            "state": "MA",
            "postal_code": "018764739",
            "telephone_number": "978-851-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 MAIN ST",
            "city": "TEWKSBURY",
            "state": "MA",
            "postal_code": "018764739",
            "telephone_number": "978-851-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEWKSBURY FAMILY DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-15",
        "last_updated": "2007-10-15",
        "status": "A",
        "authorized_official_last_name": "SHAHIDI",
        "authorized_official_first_name": "ARGHAVAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-851-8888",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shachie Desiree Tello
• Frank Kwame Tengey, NP-C
• Stacy Teta, RPH
• Tewksbury Assisted Living, LLC
• Tewksbury Dental Associates
• Tewksbury Living Group, LLC
• Tewksbury Medical Group, P.C.
• Tewksbury Psychiatry and Ketamine PLLC
• The Commonwealth of Massachusetts
• The Commonwealth of Massachusetts

• Dental Clinic/Center in Tewksbury, MA
• Providers in Tewksbury, MA by specialty
• Dental Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; 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.