Organization Active NPI

Dream Smiles Dental Center LLC

  • Dentist
  • Fitchburg, MA
National Provider Identifier
1992115828
Registry record updated Apr 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
18871 Issued in MA
Legal business name
DREAM SMILES DENTAL CENTER LLC
Practice address
110 Prichard St
Fitchburg, MA 01420-7577
Phone
(978) 343-3032
Fax
(978) 343-3030
NPI assigned
Apr 30, 2014
Last updated
Apr 30, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2014

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

Authorized official

Name
Wasseem Al Attar, DMD
Title
Owner
Phone
(978) 343-3032

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 18871 MA Primary

Addresses

Primary practice location

110 Prichard St
Fitchburg, MA 01420-7577

Mailing address

110 Prichard St
Fitchburg, MA 01420-7577
Phone (978) 343-3032

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1398816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398816000000",
    "number": "1992115828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 PRICHARD ST",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014207577",
            "telephone_number": "978-343-3032",
            "fax_number": "978-343-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 PRICHARD ST",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014207577",
            "telephone_number": "978-343-3032",
            "fax_number": "978-343-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DREAM SMILES DENTAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-30",
        "last_updated": "2014-04-30",
        "status": "A",
        "authorized_official_last_name": "ATTAR",
        "authorized_official_first_name": "WASSEEM",
        "authorized_official_middle_name": "AL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-343-3032",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MA",
            "license": "18871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fitchburg, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.