Randolph Dental Smile PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

RANDOLPH DENTAL SMILE PLLC

Practice address

89 S Main St
Randolph, MA 02368-4896

Phone

(781) 963-4343

NPI assigned

Jan 20, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Ammar Bash, DMD

Title

Dentist/Owner

Phone

(781) 526-5042

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Luping Ge Sr., D.M.D

  • General Practice Dentistry
  • Randolph, MA
  • NPI 1417906090
  NPD (past)

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

{
    "created_epoch": "1547942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547942400000",
    "number": "1982178281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 JAMIE LN",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015456319",
            "telephone_number": "781-526-5042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 S MAIN ST",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023684896",
            "telephone_number": "781-963-4343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDOLPH DENTAL SMILE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-20",
        "last_updated": "2019-01-20",
        "status": "A",
        "authorized_official_last_name": "BASH",
        "authorized_official_first_name": "AMMAR",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "781-526-5042",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randolph Behavioral Health Services, Inc.
• Randolph Choice Chiropractic, Inc
• Randolph Dental Group LLC
• Randolph Dental Group LLC
• Randolph Dental Group LLC
• Randolph Eye, PC
• Randolph Family Dentistry PC
• Randolph Medical Associates, PC
• Randolph Pharmacy
• Randolph Pharmacy LTC

• General Practice Dentistry in Randolph, MA
• Providers in Randolph, 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 Jan 20, 2019; 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.