Organization Active NPI

Newburyport Dental Team, PC

  • General Practice Dentistry
  • Newburyport, MA
National Provider Identifier
1982945481
Registry record updated Mar 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
19511 Issued in MA
Legal business name
NEWBURYPORT DENTAL TEAM, PC
Practice address
37 1/2 Forrester St
Newburyport, MA 01950-1938
Phone
(978) 465-8492
Fax
(978) 465-2191
NPI assigned
Mar 7, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2013

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

Authorized official

Name
Bozidar L Kuljic, DDS
Title
President/Owner
Phone
(978) 457-4200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 19511 MA Primary

Addresses

Primary practice location

37 1/2 Forrester St
Newburyport, MA 01950-1938

Mailing address

37 1/2 Forrester St
Newburyport, MA 01950-1938
Phone (978) 465-8492

National Provider Directory

National Provider Directory
Tax ID family
Kuljicddsteam2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1362614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362614400000",
    "number": "1982945481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 1/2 FORRESTER ST",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019501938",
            "telephone_number": "978-465-8492",
            "fax_number": "978-465-2192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 1/2 FORRESTER ST",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019501938",
            "telephone_number": "978-465-8492",
            "fax_number": "978-465-2191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWBURYPORT DENTAL TEAM, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-07",
        "last_updated": "2013-03-07",
        "status": "A",
        "authorized_official_last_name": "KULJIC",
        "authorized_official_first_name": "BOZIDAR",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "978-457-4200",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "19511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburyport, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2013; 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.