NPIMap

Organization Active NPI

Dental Clinical Solutions PC

  • Dentist
  • Medford, MA
National Provider Identifier
1982351672
Registry record updated Mar 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
DENTAL CLINICAL SOLUTIONS PC
Practice address
92 High St Ste DH12
Medford, MA 02155-3839
Phone
(781) 396-4131
Fax
(781) 396-2064
NPI assigned
Mar 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2022

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

Authorized official

Name
Dario GonzalezNPI 1093984080
Title
Director
Phone
(781) 396-4131

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

92 High St Ste DH12
Medford, MA 02155-3839

Mailing address

92 High St Ste DH12
Medford, MA 02155-3839
Phone (781) 396-4131

Other names 1

  • The Classic Smile Doing business as

National Provider Directory

National Provider Directory

Locations

92 High St
Ste DH12
Medford, MA 02155
Phone (781) 396-4131

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1646265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646265600000",
    "number": "1982351672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 HIGH ST STE DH12",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021553839",
            "telephone_number": "781-396-4131",
            "fax_number": "781-396-2064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 HIGH ST STE DH12",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021553839",
            "telephone_number": "781-396-4131",
            "fax_number": "781-396-2064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL CLINICAL SOLUTIONS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-03",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "DARIO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "781-396-4131"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Classic Smile",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Medford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2022; 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.