Marblehead Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MARBLEHEAD DENTAL

Practice address

37 School St
Marblehead, MA 01945-3319

Phone

(781) 631-7950

Fax

(781) 631-7953

NPI assigned

Dec 28, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Fern E, Selesnick, DMDNPI 1316158348

Title

Dentist

Phone

(781) 631-7950

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.

• Fern Elise Selesnick, DMD

  • General Practice Dentistry
  • Marblehead, MA
  • NPI 1316158348
  NPD (past) Authorized official
• Angelo Guy Boncore, D.M.D.

  • General Practice Dentistry
  • Marblehead, MA
  • NPI 1932323805
  NPD (past)

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

{
    "created_epoch": "1261958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261958400000",
    "number": "1982934832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 BONAD RD",
            "city": "MARBLEHEAD",
            "state": "MA",
            "postal_code": "019453710",
            "telephone_number": "781-631-7950",
            "fax_number": "781-631-7953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 SCHOOL ST",
            "city": "MARBLEHEAD",
            "state": "MA",
            "postal_code": "019453319",
            "telephone_number": "781-631-7950",
            "fax_number": "781-631-7953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARBLEHEAD DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-28",
        "last_updated": "2009-12-28",
        "status": "A",
        "authorized_official_last_name": "SELESNICK",
        "authorized_official_first_name": "FERN",
        "authorized_official_middle_name": "E,",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "781-631-7950",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marc J Mahoney, LADC-II
• Carmela Mancini, DO, MPH
• Marblehead Chiropractic
• Marblehead Community Charter Public School
• Marblehead Counseling Center Inc
• Marblehead Family Therapy and Wellness Corporation
• Marblehead Healthcare Solutions LLC
• Marblehead Ophthalmology 2 LLC
• Marblehead Ophthalmology PC
• Marblehead Pediatric Dentistry and Braces PC

• All providers in Marblehead, MA
• Dental Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2009; 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.