Southborough Dentistry PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

SOUTHBOROUGH DENTISTRY PC

Practice address

21 Turnpike Rd
Suite F
Southborough, MA 01772-2117

Phone

(508) 357-8800

NPI assigned

Jun 11, 2014

Organization subpart

No

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

Authorized official

Name

Hyung Chan Cho, DDS

Title

Owner

Phone

(508) 357-8800

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1402444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402444800000",
    "number": "1972916542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 TURNPIKE RD",
            "address_2": "SUITE F",
            "city": "SOUTHBOROUGH",
            "state": "MA",
            "postal_code": "017722117",
            "telephone_number": "508-357-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 TURNPIKE RD",
            "address_2": "SUITE F",
            "city": "SOUTHBOROUGH",
            "state": "MA",
            "postal_code": "017722117",
            "telephone_number": "508-357-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHBOROUGH DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-11",
        "last_updated": "2014-06-11",
        "status": "A",
        "authorized_official_last_name": "CHO",
        "authorized_official_first_name": "HYUNG CHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-357-8800",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southboro Medical Group, Inc.
• Southboro Medical Group, Inc.
• Southboro Medical Group, Inc.
• Southborough Dental Associates LLP
• Southborough Dental Partners PLLC
• Judy Southey
• Lisa W Spellman, LIC. AC.
• Emily Vittal Srinivasaragavan
• Liv Meier Steen
• Lyndsey Stermer

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2014; 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.